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

William D Ellis, MD

Individual provider Emergency Medicine Physician · NPI 1790050128

William D Ellis, MD is an Emergency Medicine in Albuquerque, New Mexico. Graduated from Wayne State University School of Medicine in 2012, 14 years ago. Practices with Emergency Medicine Physicians of Genesee County PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
14
Trained at
Wayne State University School of Medicine
Licensed in
NM
In the registry since
2012
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

8300 Constitution Ave NE Pmg Emergency Medicine
Albuquerque, NM 87110-7613
Phone: (505) 291-2122
Fax: (505) 291-2979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD2015-0028 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000 (NM)

Record details

NPI number1790050128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2012
Last updated in NPPESMarch 16, 2015
Mailing addressPo Box 26666, Presbyterian Healthcare Services - Provider Enrollment, Albuquerque, NM 87125-6666

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Emergency Medicine Physicians Of Genesee County Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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