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

Shaneise Ellis, MD, MBA

Individual provider Pediatrics Physician · NPI 1922758267

Shaneise Ellis, MD, MBA is a Pediatrics Physician in Indianapolis, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2022.

Licensed in
IL, IN
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 948-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01096953A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 125.079309 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922758267
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

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