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

Dr. John Ellis, DO

Individual provider Emergency Medicine Physician · NPI 1003221037

Dr. John Ellis, DO is an Emergency Medicine in Bronx, New York. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2014, 12 years ago. Practices with Benefis Hospitals Inc, a 398-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Florida and Montana.

Years since qualifying
12
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
CA, FL, MT
In the registry since
2014
Specialties on file
4
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

4422 Third Ave
Bronx, NY 10457
Phone: (718) 960-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1101 26th St S, Great Falls, MT 59405-5161 — (406) 455-5200
  • 26 Hatch Ter, Dobbs Ferry, NY 10522-2813 — (727) 417-6369

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 22891 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 160849 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence OS15644 (FL)

Record details

NPI number1003221037
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 28, 2014
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address6751 Eagle Ridge Blvd, Lakeland, FL 33813-5636

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2014 (12 years in practice)
Group practice Benefis Hospitals Inc — 398 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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