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

Tina Marie Ellis, MD

Individual provider Anesthesiology Physician · NPI 1497072631

Tina Marie Ellis, MD is an Anesthesiology in Providence, Rhode Island. Graduated from University of Florida College of Medicine in 2010, 16 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
16
Trained at
University of Florida College of Medicine
Licensed in
RI
In the registry since
2010
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

593 Eddy St Davol 129
Providence, RI 02903-4923
Phone: (401) 444-4933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Dudley St, Providence, RI 02905-2401 — (401) 274-1122

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD14603 (RI)

Record details

NPI number1497072631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2010
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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