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

Ellis Robertson, MD

Individual provider Diagnostic Radiology Physician · NPI 1568465920

Ellis Robertson, MD is a Diagnostic Radiology in Dallas, Texas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1989, 37 years ago. Practices with Radiology Associates of North Texas PA, a 341-clinician group. Licensed in Texas.

Years since qualifying
37
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
TX
In the registry since
2005
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

12700 Park Central Dr Ste 430
Dallas, TX 75251-1527
Phone: (972) 239-8902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence J7162 (TX)

Record details

NPI number1568465920
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing addressPo Box 740608, Dallas, TX 75374-0608

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1989 (37 years in practice)
Group practice Radiology Associates Of North Texas Pa — 341 clinicians
Accepts Medicare assignment Not indicated
Practice locations11 on file with Medicare

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