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

Dr. Troy C Ellis, MD

Individual provider Dermatology Physician · NPI 1356491997

Dr. Troy C Ellis, MD is a Dermatology in Peoria, Arizona. Graduated from Columbia University College of Physicians and Surgeons in 2005, 21 years ago. Practices with Southwest Skin Specialists LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
21
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
AZ
In the registry since
2007
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

13943 N 91st Ave #C-101
Peoria, AZ 85381-3629
Phone: (623) 760-9449
Fax: (623) 974-9351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 49391 (AZ)

Record details

NPI number1356491997
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 12, 2007
Last updated in NPPESJanuary 26, 2016
Mailing address13943 N 91st Ave, C-101, Peoria, AZ 85381-3629

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2005 (21 years in practice)
Group practice Southwest Skin Specialists Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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