Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bobby J Ellis, MD

Individual provider Internal Medicine Physician · NPI 1679595144

Bobby J Ellis, MD is an Internal Medicine in Ardmore, Oklahoma. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1980, 46 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Oklahoma.

Years since qualifying
46
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

921 14th Ave NW
Ardmore, OK 73401-1837
Phone: (580) 223-5311
Fax: (580) 223-8227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 26021 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0417821 (KS)

Record details

NPI number1679595144
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 24, 2006
Last updated in NPPESApril 29, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1980 (46 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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