Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

John M Ellis, MD

Diagnostic Radiology Physician in Utica, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962464818

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Registry record

Entity type Individual (Type 1)

Name John M Ellis

Credential MD

Sex Male

Practice address 1656 Champlin Ave, Utica, NY, 13502

Phone (315) 624-6116

Enumeration date Apr 5, 2006

Last updated in NPPES Oct 15, 2025

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 209356 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
P010209356	Other	NY	BCBS
300099765	Other	NY	RAIL ROAD MEDICARE
01874611	Medicaid	NY	-
4199650	Other	NY	GHI
040426013962	Other	NY	FIDELIS
960976	Other	NY	MVP
209356-1	Other	NY	WC
10037625	Other	NY	CDPHP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is John Ellis?

John Ellis is registered in NPPES with the primary taxonomy of Diagnostic Radiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-15.