Active NPI 1629004445 Individual Practitioner Male Practitioner

Dr. Thomas S Ellis , MD

Neurological Surgery • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Ellis, MD is a certified Neurological Surgery practicing in Fort Worth, TX. With approximately 36 years of clinical experience since graduating from University Of Texas Medical School At Houston in 1990, Dr. Ellis delivers high-quality medical care to the local community at 1900 MISTLETOE BLVD STE 200.

Dr. Ellis maintains professional affiliations with Green Oaks Physical Therapy Limited Partnership, Fort Worth Brain And Spine Institute, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of lower and sacral spine, minimum of 4 views, established patient outpatient office visit, x-ray of upper spine, 4 or 5 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 Mistletoe Blvd Ste 200

Fort Worth, TX 76104

Telephone 8178785333

Fax 8178785334

Associated Practice Facility / Clinic

🏢 Fort Worth Brain & Spine Institute, Llp Facility NPI 1770503237

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Fort Worth, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +10.8 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

39 Specialists

Practicing in Fort Worth, TX (703 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (36 Years) 36 Yrs

Fort Worth Specialty Average (25.2 Years) 25.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	209	153	$115.00	$50.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	112	$284.00	$125.35
72050 X-ray of upper spine, 4 or 5 views	155	119	$118.00	$52.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	87	$400.00	$177.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$370.00	$162.94
99213 Established patient office or other outpatient visit, typically 15 minutes	71	66	$201.00	$89.02
22854 Insertion of cage or mesh device in disc space during spine fusion	57	28	$730.00	$309.84
22614 Fusion of additional segment of spine	41	18	$852.00	$377.91
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	37	26	$706.00	$286.75
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment	29	28	$3890.00	$1663.32
22554 Fusion of upper spine bones through front of neck with partial removal of disc	29	28	$2795.00	$631.34
22845 Placement of stabilizing device to front, 2-3 spine bone segments	26	26	$1581.00	$701.14
72040 X-ray of upper spine, 2-3 views	26	23	$88.00	$38.91
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	18	$561.00	$248.42
63057 Release of middle or lower spinal cord and/or nerves	22	12	$700.00	$309.23
72100 X-ray of lower and sacral spine, 2-3 views	19	16	$88.00	$39.19
63056 Release of lower spinal cord and/or nerves	15	15	$3291.00	$924.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$488.00	$216.14
72070 X-ray of middle spine, 2 views	14	12	$73.00	$32.23
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$1661.00	$737.38
22612 Fusion of spine in lower back	11	11	$3489.00	$1541.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	123	$327.00	$123.94
72110 X-ray of lower and sacral spine, minimum of 4 views	144	117	$146.00	$50.47
72050 X-ray of upper spine, 4 or 5 views	107	95	$152.00	$52.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	75	$440.00	$170.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$494.00	$161.87
22854 Insertion of cage or mesh device in disc space during spine fusion	60	26	$996.00	$302.34
99213 Established patient office or other outpatient visit, typically 15 minutes	53	49	$225.00	$88.98
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	48	30	$977.00	$283.17
63057 Release of middle or lower spinal cord and/or nerves	44	24	$950.00	$305.19
22614 Fusion of additional segment of spine	39	24	$1165.00	$371.79
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	21	$769.00	$245.46
72100 X-ray of lower and sacral spine, 2-3 views	31	25	$115.00	$39.82
63056 Release of lower spinal cord and/or nerves	26	26	$4424.00	$1013.31
22554 Fusion of upper spine bones through front of neck with partial removal of disc	26	26	$3739.00	$677.68
72020 X-ray of spine, 1 view	26	26	$73.00	$24.60
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment	26	26	$5230.00	$1501.04
22612 Fusion of spine in lower back	20	20	$4750.00	$1382.03
63082 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment	19	16	$790.00	$252.04
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	18	$2163.00	$631.92
22842 Placement of stabilizing device to back, 3-6 spine bone segments	18	17	$2271.00	$725.93
22846 Placement of stabilizing device to front, 4-7 spine bone segments	15	15	$2249.00	$718.64
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$4590.00	$545.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$624.00	$215.97
72070 X-ray of middle spine, 2 views	11	11	$95.00	$29.83
72040 X-ray of upper spine, 2-3 views	11	11	$115.00	$39.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	237	161	$322.80	$126.60
72110 X-ray of lower and sacral spine, minimum of 4 views	127	122	$144.74	$52.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	107	95	$436.00	$179.34
72050 X-ray of upper spine, 4 or 5 views	101	96	$150.34	$53.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$487.37	$165.15
22854 Insertion of cage or mesh device in disc space during spine fusion	77	35	$910.43	$314.47
72020 X-ray of spine, 1 view	57	44	$72.26	$24.69
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	52	35	$886.38	$296.43
22614 Fusion of additional segment of spine	50	23	$1165.00	$366.56
72100 X-ray of lower and sacral spine, 2-3 views	47	36	$113.64	$39.75
99213 Established patient office or other outpatient visit, typically 15 minutes	44	44	$219.95	$89.96
63057 Release of middle or lower spinal cord and/or nerves	43	27	$950.00	$300.98
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment	35	35	$4873.43	$1647.66
22554 Fusion of upper spine bones through front of neck with partial removal of disc	35	35	$3485.17	$635.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$613.13	$219.35
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	17	$734.70	$242.68
63056 Release of lower spinal cord and/or nerves	27	27	$4424.00	$815.84
22612 Fusion of spine in lower back	23	22	$4750.00	$1500.39
22845 Placement of stabilizing device to front, 2-3 spine bone segments	19	19	$2163.00	$682.41
63082 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment	18	16	$684.22	$249.36
22846 Placement of stabilizing device to front, 4-7 spine bone segments	17	17	$1930.65	$710.89
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	14	$2179.93	$717.81
72040 X-ray of upper spine, 2-3 views	14	14	$115.00	$40.21
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$2262.00	$712.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	140	$327.00	$127.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$494.00	$166.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	83	$440.00	$176.50
72110 X-ray of lower and sacral spine, minimum of 4 views	86	83	$146.00	$50.41
99213 Established patient office or other outpatient visit, typically 15 minutes	77	68	$225.00	$90.22
22854 Insertion of cage or mesh device in disc space during spine fusion	77	34	$996.00	$317.73
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	57	34	$983.47	$305.04
72050 X-ray of upper spine, 4 or 5 views	56	54	$152.00	$53.03
72020 X-ray of spine, 1 view	53	47	$73.00	$24.67
22614 Fusion of additional segment of spine	48	21	$1165.00	$371.73
22554 Fusion of upper spine bones through front of neck with partial removal of disc	36	34	$3739.00	$618.09
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment	36	34	$5232.78	$1657.72
63057 Release of middle or lower spinal cord and/or nerves	31	21	$1041.94	$304.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$624.00	$214.22
72100 X-ray of lower and sacral spine, 2-3 views	28	23	$115.00	$39.90
72040 X-ray of upper spine, 2-3 views	28	27	$115.00	$39.52
63082 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment	27	20	$790.00	$251.89
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	17	$769.00	$245.55
22846 Placement of stabilizing device to front, 4-7 spine bone segments	22	21	$2249.00	$717.38
63048 Partial removal of spine bone with release of spinal cord and/or nerves	22	11	$628.00	$200.66
63056 Release of lower spinal cord and/or nerves	20	20	$4424.00	$798.88
22612 Fusion of spine in lower back	19	19	$4750.00	$1430.55
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$2163.00	$690.43
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	11	$2271.00	$724.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$323.00	$108.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	122	$275.44	$106.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	96	85	$395.21	$145.03
99213 Established patient office or other outpatient visit, typically 15 minutes	90	69	$187.22	$73.63
22854 Insertion of cage or mesh device in disc space during spine fusion	86	37	$1029.86	$331.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$443.52	$162.48
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	52	29	$988.83	$322.90
72020 X-ray of spine, 1 view	40	37	$76.30	$24.16
22614 Fusion of additional segment of spine	38	14	$1208.29	$387.26
22554 Fusion of upper spine bones through front of neck with partial removal of disc	35	35	$3804.23	$693.67
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment	34	34	$5256.03	$1714.91
63057 Release of middle or lower spinal cord and/or nerves	32	16	$871.88	$315.12
72110 X-ray of lower and sacral spine, minimum of 4 views	31	30	$141.48	$48.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$535.41	$201.15
22845 Placement of stabilizing device to front, 2-3 spine bone segments	22	22	$2239.09	$720.23
63082 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment	21	16	$848.57	$262.66
72040 X-ray of upper spine, 2-3 views	21	20	$112.86	$37.96
72050 X-ray of upper spine, 4 or 5 views	19	19	$161.47	$47.74
72120 X-ray lower and sacral spine including bending views 2 or 3 views	18	17	$120.50	$37.31
72100 X-ray of lower and sacral spine, 2-3 views	18	16	$112.11	$38.04
63056 Release of lower spinal cord and/or nerves	18	18	$4500.67	$1020.54
22846 Placement of stabilizing device to front, 4-7 spine bone segments	17	17	$2360.88	$748.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$274.93	$107.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	114	$175.00	$107.37
99213 Established patient office or other outpatient visit, typically 15 minutes	148	114	$125.00	$72.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	144	114	$225.00	$140.84
22854 Insertion of cage or mesh device in disc space during spine fusion	71	34	$1340.85	$326.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$220.00	$105.62
72020 X-ray of spine, 1 view	60	49	$95.00	$22.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$250.00	$162.16
72110 X-ray of lower and sacral spine, minimum of 4 views	48	45	$139.00	$49.40
63057 Release of middle or lower spinal cord and/or nerves	47	26	$723.40	$318.86
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	47	30	$1100.00	$309.28
72100 X-ray of lower and sacral spine, 2-3 views	45	40	$102.00	$36.09
22614 Fusion of additional segment of spine	43	21	$1400.00	$387.95
72050 X-ray of upper spine, 4 or 5 views	35	33	$170.00	$49.65
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment	33	33	$5525.00	$1714.25
22554 Fusion of upper spine bones through front of neck with partial removal of disc	33	33	$4500.00	$666.39
72040 X-ray of upper spine, 2-3 views	29	27	$110.00	$32.80
22845 Placement of stabilizing device to front, 2-3 spine bone segments	25	25	$3000.00	$704.74
63056 Release of lower spinal cord and/or nerves	25	25	$4860.00	$1017.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$325.00	$203.78
22612 Fusion of spine in lower back	19	19	$4200.00	$1391.50
63082 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment	17	14	$1200.00	$270.73
72120 X-ray lower and sacral spine including bending views 2 or 3 views	16	15	$128.00	$42.31
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	11	$1051.00	$256.47
22846 Placement of stabilizing device to front, 4-7 spine bone segments	14	14	$3200.00	$751.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$75.00	$52.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	121	$175.44	$101.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	80	66	$225.00	$135.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$220.00	$100.10
22854 Insertion of cage or mesh device in disc space during spine fusion	62	28	$1360.00	$310.89
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$125.00	$68.86
72100 X-ray of lower and sacral spine, 2-3 views	49	44	$102.00	$28.27
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	48	28	$1100.00	$304.42
72020 X-ray of spine, 1 view	48	32	$95.00	$16.22
22554 Fusion of upper spine bones through front of neck with partial removal of disc	28	28	$4500.00	$704.16
63057 Release of middle or lower spinal cord and/or nerves	28	19	$753.57	$313.92
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment	26	26	$5525.00	$1630.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$250.00	$153.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$325.00	$193.45
63082 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment	20	19	$1200.00	$256.49
22846 Placement of stabilizing device to front, 4-7 spine bone segments	19	19	$3200.00	$723.98
63056 Release of lower spinal cord and/or nerves	19	19	$4910.53	$993.70
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	13	$1051.00	$240.36
72040 X-ray of upper spine, 2-3 views	15	15	$110.00	$22.69
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$3000.00	$697.34
22612 Fusion of spine in lower back	11	11	$4200.00	$1297.89
72120 X-ray lower and sacral spine including bending views 2 or 3 views	11	11	$128.00	$31.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	86	$175.00	$100.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	76	$225.00	$131.38
72020 X-ray of spine, 1 view	58	47	$95.00	$20.92
22614 Fusion of additional segment of spine	58	21	$1400.00	$375.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$253.33	$151.97
22854 Insertion of cage or mesh device in disc space during spine fusion	53	26	$1360.00	$322.75
99213 Established patient office or other outpatient visit, typically 15 minutes	51	47	$125.00	$69.56
72100 X-ray of lower and sacral spine, 2-3 views	39	34	$102.00	$31.71
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	38	24	$1100.00	$312.01
63057 Release of middle or lower spinal cord and/or nerves	36	25	$758.33	$308.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$325.00	$196.39
22554 Fusion of upper spine bones through front of neck with partial removal of disc	28	27	$4535.71	$748.45
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment	27	26	$5525.00	$1524.74
63056 Release of lower spinal cord and/or nerves	21	21	$4842.86	$981.54
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	14	$1051.00	$249.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	13	$160.00	$99.48
22845 Placement of stabilizing device to front, 2-3 spine bone segments	19	18	$3000.00	$699.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$315.00	$193.08
63082 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment	16	15	$1200.00	$254.86
99291 Critical care, first 30-74 minutes	16	13	$425.00	$212.53
22846 Placement of stabilizing device to front, 4-7 spine bone segments	13	13	$3200.00	$726.34
22612 Fusion of spine in lower back	12	12	$4200.00	$1392.19
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$4700.00	$731.54
72040 X-ray of upper spine, 2-3 views	11	11	$110.00	$31.34

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License TX H9911

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

089947804 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

8H9671 (TX)

Hospital & Practice Group Affiliations

Green Oaks Physical Therapy Limited Partnership

350 Mercedes St, Benbrook, TX 761262593

Phone: 8177175390

Fort Worth Brain And Spine Institute, Llp

1900 Mistletoe Blvd, Fort Worth, TX 761044049

Phone: 8178785333

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Abdolreza Siadati , MD

Neurological Surgery

NPI 1033138011

Doctor of Medicine (M.D.)

Dr. Philip Bechtel , MD

Neurological Surgery

NPI 1073555736

Doctor of Medicine (M.D.)

Kelley Ellis , RNFA, CNOR

Registered Nurse - Medical-Surgical

NPI 1073622858

Aaron Washington , PA-C

Physician Assistant - Surgical

NPI 1205184058

Physician Assistant (Certified)

Kevin Tran , PA-C

Physician Assistant

NPI 1205200094

Physician Assistant (Certified)

Dr. Brent Alford , MD

Neurological Surgery

NPI 1467488288

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 27, 2018

Registered at 1900 MISTLETOE BLVD STE 200, FORT WORTH, TX 76104 (Tel: 8178785333)

📍

Updated Business Mailing Address June 27, 2018

Registered at 1900 MISTLETOE BLVD STE 200, FORT WORTH, TX 761044049 (Tel: 8178785333)

✅

NPI Profile Active April 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 21, 2014

Registered at 1900 MISTLETOE BLVD, SUITE 200, FORT WORTH, TX 761044014 (Tel: 8178785333)

📍

Updated Business Mailing Address April 21, 2014

Registered at 1900 MISTLETOE BLVD, SUITE 200, FORT WORTH, TX 761044014 (Tel: 8178785333)

👤

Provider Name / Credentials Updated April 21, 2014

Recorded as THOMAS ELLIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2014

Neurological Surgery (License #H9911 in TX)

🟢

Initial NPI Registration & Enumeration June 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1629004445

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 23, 2006

Last Update: June 27, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1900 Mistletoe Blvd Ste 200

Fort Worth, TX 761044049

Phone: 8178785333

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