ELLIS MEDICAL CENTER, LLC – Primary Care Clinic/Center, NPI 1346484672

ELLIS MEDICAL CENTER, LLC is a healthcare provider. based in Bloomfield, Connecticut. specializing in Primary Care Clinic/Center. The organization holds a License No. 041803 (CT). The NPI Number for ELLIS MEDICAL CENTER, LLC is 1346484672

Main info

Organization
Name
ELLIS MEDICAL CENTER, LLC
NPI
1346484672
Phone
(860) 243-1864
Address
701 COTTAGE GROVE RD
Authorized Official
DR. LENWORTH ELLIS MANAGING MEMBER M.D.
Enumeration Date
30 April 2009
Last Update Date
30 April 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for ELLIS MEDICAL CENTER, LLC

  • Cottage Grove Road, Blue Hills, Cottage Grove, Bloomfield, Hartford County, Connecticut, 06002, United States

    SUITE A110

    BLOOMFIELD, CT 060023080

    Phone: (860) 243-1864

    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.

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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.

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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 06002)

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Reviews

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Frequently asked questions

What is the standard ID for ELLIS MEDICAL CENTER, LLC in the U.S.?
In the U.S., ELLIS MEDICAL CENTER, LLC is identified by NPI 1346484672.
Is ELLIS MEDICAL CENTER, LLC currently accepting referrals based on NPI status?
Registry metadata lists ELLIS MEDICAL CENTER, LLC as active.
What services align with ELLIS MEDICAL CENTER, LLC's listing?
ELLIS MEDICAL CENTER, LLC's public classification highlights Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to ELLIS MEDICAL CENTER, LLC?
ELLIS MEDICAL CENTER, LLC shows a connection to Bloomfield, Connecticut in registry-derived data.
Who maintains ELLIS MEDICAL CENTER, LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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