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

Individual provider Dermatology Physician · NPI 1063948172

Dr. Christoph Thomas Ellebrecht, MD is a Dermatology in Philadelphia, Pennsylvania. Qualified in 2011, 15 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2017
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

3400 Spruce St
Philadelphia, PA 19104
Phone: (215) 350-3997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 S 13th St, Philadelphia, PA 19147-1142 — (215) 350-3997

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD474417 (PA)

Record details

NPI number1063948172
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESJuly 26, 2021
Certification dateJune 15, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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