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

Bobby J Ellis, MD

Individual provider Internal Medicine Physician · NPI 1679595144

Bobby J Ellis, MD is an Internal Medicine in Ardmore, Oklahoma. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1980, 46 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Oklahoma.

Years since qualifying
46
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS, OK
In the registry since
2006
Specialties on file
2
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

921 14th Ave NW
Ardmore, OK 73401-1837
Phone: (580) 223-5311
Fax: (580) 223-8227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 26021 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0417821 (KS)

Record details

NPI number1679595144
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 24, 2006
Last updated in NPPESApril 29, 2014
Mailing address4401 W Memorial Rd, 140, Oklahoma City, OK 73134-1785

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1980 (46 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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