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

Scott Ryan Ellis, MD

Individual provider Surgery Physician · NPI 1699138214

Scott Ryan Ellis, MD is a General Surgery in Elmhurst, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2024, 2 years ago. Practices with Kings Physician Services PC, a 645-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2016
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

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (917) 747-8487
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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 324008 (NY)

Record details

NPI number1699138214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2016
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address7901 Broadway, Elmhurst, NY 11373-1329

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2024 (2 years in practice)
Group practice Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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