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

Tyler Ellis, MD

Individual provider Pediatrics Physician · NPI 1215597315

Tyler Ellis, MD is a Pediatrics Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
Specialties on file
2
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

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-6000
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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 67734 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 30243 (MN)

Record details

NPI number1215597315
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address2525 Chicago Ave, Minneapolis, MN 55404-4518

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