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

Peter I Ellman, MD

Individual provider Surgery Physician · NPI 1053529214

Peter I Ellman, MD is a Thoracic Surgery in Pinehurst, North Carolina. Graduated from Perelman School of Med at the University of Pennsylvania in 2000, 26 years ago. Practices with Mcpc-10 LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
26
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
VA
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

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone: (910) 715-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101232927 (VA)

Record details

NPI number1053529214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 20, 2007
Last updated in NPPESMarch 11, 2013
Mailing addressPo Box 843257, Boston, MA 02284-3257

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2000 (26 years in practice)
Group practice McPc-10 Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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