DR. DAVID DALE ELLIS (D.O.) – Family Medicine Physician, NPI 1174514137

Family Medicine Physician

DR. DAVID DALE ELLIS (D.O.) is a healthcare provider. based in San antonio, Texas. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. F3931 (TX). The NPI Number for DR. DAVID DALE ELLIS (D.O.) is 1174514137

Main info

Male

47 Years Of Experience

Accepts Medicare Assignment

Name

DR. DAVID DALE ELLIS (D.O.)

NPI

1174514137

Phone

(210) 921-3800

Address

720 PLEASANTON RD

Enumeration Date

31 October 2005

Last Update Date

1 February 2010

Doctor Profile

Medical School Name

OTHER

Secondary Phone

71379817502

Graduation Year

1979 (47 years ago)

PAC ID

1658460944

Group Practice PAC ID

9133213192

Professional Enrollment ID

I20071210000481

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

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Provider Addresses for DR. DAVID DALE ELLIS (D.O.)

720, Pleasanton Road, San Antonio, Bexar County, Texas, 78214, United States
SAN ANTONIO, TX 782141306
Phone: (210) 921-3800
Fax: (210) 921-6615
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)

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.

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 78214)

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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: 9133213192View full group profile

Name	Specialty	State
MRS. RONIA J KHOURI (AGACNP-BC, FNP-C)	-	TX
RAVINDER R BACHIREDDY (M.D.)	Interventional Cardiology, Cardiovascular Disease (Cardiology)	TX
Unknown Individual	-	TX
CHACKO ALEXANDER (M.D.)	Cardiovascular Disease (Cardiology)	TX
NAGAKRISHNAL NACHIMUTHU (M.D)	Internal Medicine, Infectious Disease	TX
MRS. ARLEAN MICHELLE BULLARD (MD)	Family Practice	TX
DR. THOMAS JACKSON PARR (M.D,)	-	TX
HUSAM H NAJJAR (M.D.)	Pulmonary Disease	MO
DR. EDWARD BROOKE ROBERTS (M.D.)	-	TX
ELIZABETH A VANDERGAAG (ARNP)	Nurse Practitioner	WA

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Frequently asked questions

Does DR. DAVID DALE ELLIS (D.O.) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — DR. DAVID DALE ELLIS (D.O.) uses 1174514137.

Is DR. DAVID DALE ELLIS (D.O.) listed as active for patients and plans?

The listing shows DR. DAVID DALE ELLIS (D.O.) as active in the NPI system.

What taxonomy line describes DR. DAVID DALE ELLIS (D.O.)?

For research purposes, treat DR. DAVID DALE ELLIS (D.O.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

What area does DR. DAVID DALE ELLIS (D.O.) serve?

DR. DAVID DALE ELLIS (D.O.)'s listing highlights San Antonio, Texas; more addresses can appear in NPPES.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.