JAMES R ELLIS (MD) – Physical Medicine & Rehabilitation Physician, NPI 1710975156

JAMES R ELLIS (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 4301058854 (MI). The NPI Number for JAMES R ELLIS (MD) is 1710975156

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JAMES R ELLIS (MD)
NPI
1710975156
Phone
(616) 459-7101
Address
1111 LEFFINGWELL AVE NE
Enumeration Date
10 October 2005
Last Update Date
29 January 2013

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
7618944489
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20100115000472
Address ID
MI495463808GR5060XSEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

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Provider Addresses for JAMES R ELLIS (MD)

  • Leffingwell Avenue Northeast, Grand Rapids, Kent County, Michigan, 49525, United States

    STE 100

    GRAND RAPIDS, MI 495256406

    Phone: (616) 459-7101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-04-01 • Largest payer in this snapshot: Abbott Laboratories ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$33
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: 2010-01-15

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
I20100115000472IPhysical Medicine And RehabilitationMITBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study211153$0
95909Nerve conduction, 5-6 studies8076$0
72148Mri scan of lower spinal canal without contrast5655$0
95911Nerve conduction, 9-10 studies5050$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 49525)

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Provider's Procedures

JAMES R ELLIS (MD) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOMI20610Aspiration and/or injection of large joint or joint capsule1816

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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What federal number belongs to JAMES R ELLIS (MD)?
The federal identifier for JAMES R ELLIS (MD) is NPI 1710975156.
Is JAMES R ELLIS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JAMES R ELLIS (MD)?
The page reflects Physical Medicine & Rehabilitation Physician for JAMES R ELLIS (MD). Clinical services aligned with this taxonomy classification.
Where is JAMES R ELLIS (MD)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for JAMES R ELLIS (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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