JAMES TIMOTHY ELLIS (DO) – Surgery Physician, NPI 1225691892

JAMES TIMOTHY ELLIS (DO) is a healthcare provider. based in Toledo, Ohio. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. DO225069 (OR). The NPI Number for JAMES TIMOTHY ELLIS (DO) is 1225691892

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JAMES TIMOTHY ELLIS (DO)
NPI
1225691892
Phone
(419) 251-6596
Address
2213 CHERRY STREET
Enumeration Date
18 April 2019
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032887535
Graduation Year
2019 (7 years ago)
PAC ID
9830634112
Group Practice PAC ID
2860390408
Professional Enrollment ID
I20251006003540
Address ID
OR972272007PO501XXSTXX401

Contacts

Secure Messaging
cc_otoc_general_surg_and_burn_front_desk_pool12223195@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:7State licenses:1Other names

1,600 GENERAL SURGERY in OH

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Provider Addresses for JAMES TIMOTHY ELLIS (DO)

  • Mercy Saint Vincent Medical Center, 2213, Cherry Street, Birckhead Place, Toledo, Lucas County, Ohio, 43608, United States

    ACC, 1ST FLOOR

    TOLEDO, OH 43608

    Phone: (419) 251-6596

    Type: Location

  • 541 NE 20TH AVE STE 225

    PORTLAND, OR 972322895

    Phone: (503) 963-2801

    Type: Mailing

  • 501 N GRAHAM ST STE 555

    PORTLAND, OR 972272007

    Phone: (503) 288-7535

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $445.

Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Inari Medical, Inc. ($333).

Total Amount

$445

General + Research + Ownership

Payments

3

Total payment records

General Amount

$445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2025-10-06

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
I20251006003540IGeneral SurgeryORTBD

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.

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

Insurance plans in this area (ZIP 43608)

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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: 2860390408View full group profile
NameSpecialtyState
Pulmonary DiseaseOR
-OR
O T O L A R Y N G O L O G YOR
Internal Medicine, GastroenterologyOR
Gastroenterology, Internal MedicineOR
-OR
-OR
Qualified AudiologistOR
Physician AssistantOR
N E U R O S U R G E R YOR

Reviews

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Frequently asked questions

What unique ID ties claims to JAMES TIMOTHY ELLIS (DO)?
NPI 1225691892 is assigned to JAMES TIMOTHY ELLIS (DO) under the national enumeration system.
Is JAMES TIMOTHY ELLIS (DO) active in the national directory?
JAMES TIMOTHY ELLIS (DO)'s public NPI profile is in an active state.
What does JAMES TIMOTHY ELLIS (DO) treat or focus on?
Patients typically see JAMES TIMOTHY ELLIS (DO) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JAMES TIMOTHY ELLIS (DO)?
The page summarizes Toledo, Ohio for JAMES TIMOTHY ELLIS (DO); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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