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

Dr. Adam W Ellis, DO

Individual provider Family Medicine Physician · NPI 1760548879

Dr. Adam W Ellis, DO is a Family Practice in Philadelphia, Pennsylvania. Graduated from University of New England, College of Osteo Medicine in 1990, 36 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
36
Trained at
University of New England, College of Osteo Medicine
Licensed in
PA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1641 Jackson St
Philadelphia, PA 19145-3843
Phone: (215) 334-2550
Fax: (215) 334-3920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OSOO7563L (PA)

Record details

NPI number1760548879
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 1, 2007
Last updated in NPPESDecember 26, 2019
Certification dateDecember 26, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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