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

Amy L Ellenbogen, MD

Individual provider Diagnostic Radiology Physician · NPI 1336584101

Amy L Ellenbogen, MD is a Diagnostic Radiology in Charlottesville, Virginia. Graduated from University of Virginia School of Medicine in 2013, 13 years ago. Practices with Health Diagnostics of California a Professional Corporation, a 175-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
13
Trained at
University of Virginia School of Medicine
Licensed in
VA
In the registry since
2013
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

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-9400
Fax: (434) 982-1618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1240 Lee St, Charlottesville, VA 22908-0817 — (434) 243-6888
  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 297-5055

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101266797 (VA)

Record details

NPI number1336584101
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2013
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021
Mailing addressPo Box 9007, Charlottesville, VA 22906-9007

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Health Diagnostics Of California A Professional Corporation — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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