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

Dr. Andrew James Ellis, MD

Individual provider Pediatrics Physician · NPI 1881006435

Dr. Andrew James Ellis, MD is a Pediatrics Physician in Saint Louis, Missouri. Licensed in Indiana and Missouri. Registered with an NPI since 2014.

Licensed in
IN, MO
In the registry since
2014
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

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5643
Fax: (314) 268-4019
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2018012696 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 01078376 (IN)

Record details

NPI number1881006435
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2014
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

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