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

John M Ellis, MD

Individual provider Diagnostic Radiology Physician · NPI 1962464818

John M Ellis, MD is a Diagnostic Radiology in Utica, New York. Qualified in 1992, 34 years ago. Practices with Cmi Professional Services, a 13-clinician group and works from 3 locations. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2006
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

1656 Champlin Ave
Utica, NY 13502-4830
Phone: (315) 624-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13813 Metro Pkwy, Fort Myers, FL 33912-4343 — (855) 674-4624
  • 185 Genesee St, Utica, NY 13501-2199 — (315) 793-8806

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 209356 (NY)

Record details

NPI number1962464818
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address185 Genesee St Ste 600, Utica, NY 13501-2110

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Cmi Professional Services — 13 clinicians
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

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