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

Dr. Kenneth A Ellenbogen, MD

Individual provider Cardiovascular Disease Physician · NPI 1508966706

Dr. Kenneth A Ellenbogen, MD is a Cardiac Electrophysiology in Richmond, Virginia. Graduated from Johns Hopkins University School of Medicine in 1980, 46 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
46
Trained at
Johns Hopkins University School of Medicine
Licensed in
VA
In the registry since
2006
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

1250 E Marshall St Internal Medicine/cardiology
Richmond, VA 23298-5051
Phone: (804) 828-7565
Fax: (804) 828-6082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 0101040591 (VA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 0101040591 (VA)

Record details

NPI number1508966706
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESDecember 30, 2022
Certification dateDecember 30, 2022
Mailing addressPo Box 91734, Richmond, VA 23291-1734

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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