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

Dr. Preetivi Ellis, MDFACP

Individual provider Internal Medicine Physician · NPI 1538471305

Dr. Preetivi Ellis, MDFACP is a Geriatric Medicine in Springfield, Oregon. Qualified in 2007, 19 years ago. Practices with Daiya Healthcare PLLC, a 79-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
19
Licensed in
CA, OR
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone: (541) 222-6389
Fax: (541) 222-6385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-1164
  • Peacehealth Hospital Medicine, Springfield, OR 97477-8803 — (541) 222-6389

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD166207 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD166207 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence A122222 (CA)

Record details

NPI number1538471305
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDFACP
Sole proprietorYes
NPI enumeratedJuly 9, 2010
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Daiya Healthcare Pllc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield