MICHAEL ELLIS (M.D.) – Infectious Disease Physician, NPI 1871564617

MICHAEL ELLIS (M.D.) is a healthcare provider. based in Toledo, Ohio. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD32787 (DC). The NPI Number for MICHAEL ELLIS (M.D.) is 1871564617

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL ELLIS (M.D.)
NPI
1871564617
Phone
(419) 383-5322
Address
3355 GLENDALE AVE FL 3
Enumeration Date
30 January 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
4193835614
Graduation Year
1999 (27 years ago)
PAC ID
4981876570
Group Practice PAC ID
8729983416
Professional Enrollment ID
I20150715002061
Address ID
OH436142426TO3355XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

417 INFECTIOUS DISEASE in OH

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Provider Addresses for MICHAEL ELLIS (M.D.)

  • Glendale Avenue, Southwyck, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436142426

    Phone: (419) 383-5322

    Fax: (419) 383-6235

    Type: Mailing

  • Transverse Drive, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436148008

    Phone: (419) 383-3780

    Fax: (419) 383-3338

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-07-15

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
I20150715002061IInfectious DiseaseOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5335$0
99213Established patient office or other outpatient visit, 20-29 minutes5124$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3427$0
99214Established patient office or other outpatient visit, 30-39 minutes2213$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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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: 8729983416View full group profile
NameSpecialtyState
-OH
P A T H O L O G YOH
General Surgery, Critical Care (Intensivists)MI
-OH
Nurse PractitionerOH
-OH
-OH
General SurgeryME
Vascular Surgery, General SurgeryMN
-OH

Reviews

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Frequently asked questions

What NPI should I save for MICHAEL ELLIS (M.D.)?
Save NPI 1871564617 if you need a stable reference for MICHAEL ELLIS (M.D.).
Does this profile mean MICHAEL ELLIS (M.D.) is currently active?
Yes — MICHAEL ELLIS (M.D.) appears active in the national provider directory.
What kind of provider is MICHAEL ELLIS (M.D.)?
The page reflects Infectious Disease Physician for MICHAEL ELLIS (M.D.). Clinical services aligned with this taxonomy classification.
Where is MICHAEL ELLIS (M.D.)'s primary listing?
We display Toledo, Ohio because that is what the record indicates for MICHAEL ELLIS (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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Unknown Individual

Infectious Disease Physician
5620, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States
NPI: 1932174265
2222, Cherry Street, Birckhead Place, Toledo, Lucas County, Ohio, 43608, United States
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