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

Mark L. Ellis, MD

Individual provider Specialist · NPI 1598791535

Mark L. Ellis, MD is a Diagnostic Radiology in Edina, Minnesota. Graduated from University of Mississippi School of Medicine in 1991, 35 years ago. Practices with Virtual Radiologic Professionals LLC, a 393-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
35
Trained at
University of Mississippi School of Medicine
Licensed in
MS
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

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1301
Fax: (612) 294-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 — (662) 628-6622
  • 2520 5th St N, Columbus, MS 39705-2008 — (662) 244-1000
  • 2520 5th St N, Columbus, MS 39705-2008 — (662) 244-1584
  • 151 E Metro Dr Ste 102, Flowood, MS 39232-4404 — (662) 244-1584

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 13170 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 13170 (MS)

Record details

NPI number1598791535
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing addressPo Box 7695, Columbus, MS 39705-0026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Virtual Radiologic Professionals Llc — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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