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Deactivated NPI 1356432009 Deactivated / Inactive NPI Male Practitioner

Dr. Ellis William Leroy , MD

Internal Medicine • Payson, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ellis Leroy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 27, 2006
NPI Deactivation Date July 10, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Ellis Leroy, MD was a registered Internal Medicine practicing in Payson, UT. Throughout an active medical career spanning 19 years, Dr. Leroy provided care at the practice location at 1120 E 100 N until profile deactivation on 2025-07-10.

Practice Location & Contact Primary Location

Practice Address

1120 E 100 N
# 1

Payson, UT 84651

Telephone 8014654813
Fax 8014657207
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Payson, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Payson, UT (700 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License UT 159570-1205

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. Garry Miller , DO

Internal Medicine

NPI 1053568592

Doctor of Osteopathic Medicine (D.O.)

Dr. Tala'at Al-Shuqairat , MD

Internal Medicine - Pulmonary Disease

NPI 1104875574

Doctor of Medicine (M.D.)

Dr. Troy Lunceford , MD

Internal Medicine

NPI 1194842286

Doctor of Medicine (M.D.)

Shawn Hill , MPAS

Physician Assistant

NPI 1205224276
Dr. David Bennion , MD

Internal Medicine

NPI 1255435244

Doctor of Medicine (M.D.)

Dr. Brian Clements , DO

Internal Medicine

NPI 1265540009

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 10, 2025

Record deactivated on July 10, 2025

NPI Profile Active January 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2010

Registered at 1120 E 100 N, # 1, PAYSON, UT 84651 (Tel: 8014654813)

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Updated Business Mailing Address January 11, 2010

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8014298000)

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Provider Name / Credentials Updated January 11, 2010

Recorded as ELLIS LEROY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2010

Internal Medicine (License #159570-1205 in UT)

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Initial NPI Registration & Enumeration September 27, 2006

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: 1356432009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: January 11, 2010
Deactivation Date: July 10, 2025

Mailing Address

1055 N 500 W, Credentialing Department

Provo, UT 846043305

Phone: 8014298000

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.