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

Colin Ellis, MD

Individual provider Epilepsy Physician · NPI 1770842874

Colin Ellis, MD is an Epileptologists in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3400 Civic Center Boulevard 2nd Fl South Pavilion
Philadelphia, PA 19104-5127
Phone: (215) 662-3606
Fax: (215) 243-2312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 — (215) 590-1000
  • 3500 Civic Center Blvd, Philadelphia, PA 19104 — (215) 590-1000
  • 3400 Spruce St, Philadelphia, PA 19104-4206 — (215) 662-2200
  • 3400 Spruce St, Philadelphia, PA 19104-4206 — (215) 662-2200

Specialties & licences

Epilepsy Physician (primary) Taxonomy 2084E0001X · Licence MD458436 (PA)
Neurology Physician Taxonomy 2084N0400X · Licence MD458436 (PA)

Record details

NPI number1770842874
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2012
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address3400 Spruce Street, 3 West Gates, Philadelphia, PA 19104-4206

Medicare enrollment

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

Medicare specialtyEPILEPTOLOGISTS
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Philadelphia