ROBERT J ELLIS (M.D.) – Hematology & Oncology Physician, NPI 1720056823

ROBERT J ELLIS (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. R8N50 (MO). The NPI Number for ROBERT J ELLIS (M.D.) is 1720056823

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT J ELLIS (M.D.)
NPI
1720056823
Phone
(855) 963-2100
Address
PO BOX 117287
Enumeration Date
14 March 2006
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
4178824880
Graduation Year
1989 (37 years ago)
PAC ID
8123048840
Group Practice PAC ID
0042569758
Professional Enrollment ID
I20051128000093
Address ID
MO657089311MO802XX60XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

310 HEMATOLOGY/ONCOLOGY in MO

Provider Addresses for ROBERT J ELLIS (M.D.)

  • PO BOX 117287

    ATLANTA, GA 303687287

    Phone: (855) 963-2100

    Fax: (813) 321-1296

    Type: Mailing

  • 1100 N Kentucky Ave

    West Plains, MO 657752029

    Phone: (417) 505-7836

    Type: Location

  • 3850, South National Avenue, Springfield, Greene County, Missouri, 65807, United States

    SUITE 600

    SPRINGFIELD, MO 658075287

    Phone: (417) 882-4880

    Fax: (417) 882-7843

    Type: Location

  • PO BOX 749495

    ATLANTA, GA 303749495

    Phone: (239) 432-8331

    Fax: (813) 321-1296

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,019.

Total Amount is formed as General ($1,019) + Research ($0) + Ownership ($0) = $1,019.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Gilead Sciences, Inc. ($199).

Total Amount

$1,019

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,019

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2005-11-28

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
I20051128000093IHematology/OncologyMOTBD

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
J9144Injection, daratumumab, 10 mg and hyaluronidase-fihj15,66012$0
J9271Injection, pembrolizumab, 1 mg13,20011$0
J0185Injection, aprepitant, 1 mg9,49022$0
J0897Injection, denosumab, 1 mg4,44026$0
J1100Injection, dexamethasone sodium phosphate, 1 mg2,50451$0
View full utilization report →

Insurance plans in this area (ZIP 30368)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042569758View full group profile
NameSpecialtyState
Nurse PractitionerIN
H E M A T O L O G Y/ O N C O L O G YDE
Nurse PractitionerNC
Nurse PractitionerFL
P A T H O L O G YFL
Nurse PractitionerKS
-MO
Nurse PractitionerMD
-GA
-FL

Reviews

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Frequently asked questions

What federal number belongs to ROBERT J ELLIS (M.D.)?
The federal identifier for ROBERT J ELLIS (M.D.) is NPI 1720056823.
Is ROBERT J ELLIS (M.D.) currently active in the NPI registry?
CMS-published data lists ROBERT J ELLIS (M.D.) as an active registrant.
Can you summarize ROBERT J ELLIS (M.D.)'s specialty in plain language?
Clinically, the directory lists ROBERT J ELLIS (M.D.) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ROBERT J ELLIS (M.D.)?
The page summarizes Atlanta, Georgia for ROBERT J ELLIS (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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