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

Michael S Ellis, MD

Individual provider Pediatrics Physician · NPI 1366975088

Michael S Ellis, MD is a Pediatrics Physician in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone: (801) 662-5700
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 10957049-1205 (UT)

Record details

NPI number1366975088
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2017
Last updated in NPPESOctober 10, 2018

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