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

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1659682219

Mark Kenneth Ellis, MD is an Emergency Medical Services (Emergency Medicine) Physician in New York, New York. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2010
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

2 5th Ave Apt 2D
New York, NY 10011-8832 Not confirmed with CMS for 12 years — call before visiting
Phone: (914) 393-2368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence R72186 (AZ)

Record details

NPI number1659682219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2010
Last updated in NPPESJune 2, 2014

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients248
Services billed 275 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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