BURTON ELLIS – Diagnostic Radiology Physician, NPI 1689633067

Diagnostic Radiology Physician

BURTON ELLIS is a healthcare provider. based in West bloomfield, Michigan. specializing in Diagnostic Radiology Physician. They hold a License No. 4301030106 (MI). The NPI Number for BURTON ELLIS is 1689633067

Main info

Male

56 Years Of Experience

Accepts Medicare Assignment

Name

BURTON ELLIS

NPI

1689633067

Phone

(248) 497-1234

Address

6825 HEIRLOOM CIR

Enumeration Date

22 March 2006

Last Update Date

17 July 2024

Doctor Profile

Medical School Name

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

Graduation Year

1970 (56 years ago)

PAC ID

4789785056

Group Practice PAC ID

3072875889

Professional Enrollment ID

I20070731000302

Contacts

Secure Messaging

bellis8089@direct.beaumont.edu

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for BURTON ELLIS

6825 HEIRLOOM CIR
WEST BLOOMFIELD, MI 483224805
Phone: (248) 497-1234
Type: Mailing
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone: (248) 577-9221
Type: Mailing
Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
400-FSC/PCS
ROYAL OAK, MI 480736712
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48322)

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Provider's Procedures

BURTON ELLIS performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DIAGNOSTIC RADIOLOGY	MI	71010	X-ray of chest, 1 view, front	39	38

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: 3072875889View full group profile

Name	Specialty	State
KENT DONOVAN	-	MI
DR. JOHN DOUGLAS EBERSOLE (MD)	Interventional Radiology, Diagnostic Radiology	MI
MARTINA G MULLIGAN (ACNS-BC)	-	MI
DR. SUZANNE M MILLICAN (MD)	-	MI
LAKSHMI V. PANDRANGI (M.D.)	Family Practice	MI
MING LIN HSIEH	-	MI
MITUAL AMIN (MD)	P A T H O L O G Y	MI
MARIA THOMAS (MD)	-	MI
DR. BRIAN MATTHEW DIMMER (M.D.)	Emergency Medicine	CA
MR. WILFRED REGAN (PA-C)	-	MI

Reviews

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Frequently asked questions

What is the registry number for BURTON ELLIS?

The registry entry for BURTON ELLIS shows NPI 1689633067.

Should I treat BURTON ELLIS as an active provider?

Patients and plans typically see BURTON ELLIS as active in the national extract.

What does the directory say BURTON ELLIS does?

Insurance directories may phrase it differently, but here BURTON ELLIS maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.

What city is tied to BURTON ELLIS?

The directory associates BURTON ELLIS with West Bloomfield, Michigan. Check all listed addresses for suites or satellite offices.

Who maintains BURTON ELLIS's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.