Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194721142 Individual Practitioner Male Practitioner

Dr. Eugene Ellis , MD

Specialist • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Ellis, MD is a registered healthcare professional specializing in Specialist in Brooklyn, NY. Practice services are available at 967 48TH ST under active NPI credentials.

Frequently performed procedures and clinical services include urinalysis, manual test, cervical or vaginal cancer screening; pelvic and clinical breast examination, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

967 48th St

Brooklyn, NY 112192919

Telephone 7182833000
Fax 7182386818
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.2 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
5792 Specialists

Practicing in Brooklyn, NY (23296 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81002 Urinalysis, manual test
13 13 $15.00 $3.48

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 136939-1

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01862853 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1255337283

Doctor of Medicine (M.D.)

Dr. Orel Shuker , MD

Internal Medicine

NPI 1669968269

Doctor of Medicine (M.D.)

Beth Steinfeld , WHNP-BC

Nurse Practitioner - Women's Health

NPI 1679899876

Women's Health Nurse Practitioner (Board Certified)

Ian Medrano

Nurse Practitioner - Family

NPI 1699908715
NPI 1982604740

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 08, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2008

Registered at 967 48TH ST, BROOKLYN, NY 112192919 (Tel: 7182833000)

📍
Updated Business Mailing Address December 08, 2008

Registered at 967 48TH ST, BROOKLYN, NY 112192919 (Tel: 7182833000)

👤
Provider Name / Credentials Updated December 08, 2008

Recorded as EUGENE ELLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2008

Specialist (License #136939-1 in NY)

🟢
Initial NPI Registration & Enumeration June 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194721142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2005
Last Update: December 08, 2008
Sole Proprietor: No

Mailing Address

967 48th St

Brooklyn, NY 112192919

Phone: 7182833000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.