DR. REUBEN KRISTIAN ELLIS (M.D.) – Nephrology Physician, NPI 1114969110

DR. REUBEN KRISTIAN ELLIS (M.D.) is a healthcare provider. based in Macon, Georgia. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 055819 (GA). The NPI Number for DR. REUBEN KRISTIAN ELLIS (M.D.) is 1114969110

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. REUBEN KRISTIAN ELLIS (M.D.)
NPI
1114969110
Phone
(478) 250-1325
Address
1445 Georgia Ave Ste 3
Enumeration Date
12 June 2006
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4782501325
Graduation Year
1999 (27 years ago)
PAC ID
7911941398
Professional Enrollment ID
I20050616000318
Address ID
GA312016546MA1425XAVEX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

431 NEPHROLOGY in GA

Provider Addresses for DR. REUBEN KRISTIAN ELLIS (M.D.)

  • 1445 Georgia Ave Ste 3

    Macon, GA 312017612

    Phone: (478) 250-1325

    Fax: (478) 254-6860

    Type: Location

  • 791 Poplar St

    Macon, GA 312012045

    Phone: (404) 877-8115

    Fax: (678) 376-9182

    Type: Location

  • Georgia Avenue, Macon, Bibb County, Georgia, 31213, United States

    MACON, GA 312017612

    Phone: (478) 250-1325

    Fax: (478) 254-6860

    Type: Mailing

  • 1425 GEORGIA AVE STE 201A

    MACON, GA 312016546

    Phone: (478) 250-1325

    Type: Location

  • PO BOX 6612

    MACON, GA 312086612

    Phone: (478) 250-1325

    Fax: (478) 254-6860

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $3,468.

Total Amount is formed as General ($3,468) + Research ($0) + Ownership ($0) = $3,468.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Abbott Laboratories ($692).

Total Amount

$3,468

General + Research + Ownership

Payments

121

Total payment records

General Amount

$3,468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050616000318INephrologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes77679$0
36415Insertion of needle into vein for collection of blood sample284150$0
99214Established patient office or other outpatient visit, 30-39 minutes209114$0
99213Established patient office or other outpatient visit, 20-29 minutes190105$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9667$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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Provider's Procedures

DR. REUBEN KRISTIAN ELLIS (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYGA90935Hemodialysis procedure with one physician evaluation22559
NEPHROLOGYGA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older12535
NEPHROLOGYGA90966Home dialysis services per month, patient 20 years of age or older13321

Reviews

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Frequently asked questions

What is DR. REUBEN KRISTIAN ELLIS (M.D.)'s NPI number?
DR. REUBEN KRISTIAN ELLIS (M.D.)'s NPI is 1114969110 — the number used across U.S. healthcare to identify this provider.
Would DR. REUBEN KRISTIAN ELLIS (M.D.) appear as active to a payer?
You can treat DR. REUBEN KRISTIAN ELLIS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. REUBEN KRISTIAN ELLIS (M.D.)?
DR. REUBEN KRISTIAN ELLIS (M.D.)'s specialty line reads Nephrology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. REUBEN KRISTIAN ELLIS (M.D.)?
Directory geography for DR. REUBEN KRISTIAN ELLIS (M.D.) centers on Macon, Georgia.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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