Scott Jacob Ellis MD PLLC
NPI 1104424621ActiveOrganization· Orthopaedic Surgery, Foot and Ankle Surgery· New York, NY
Orthopaedic Surgery, Foot and Ankle Surgery in New York, New York, registered in NPPES in October 2020. The authorized official on file is Scott Jacob Ellis, MD, President.
Overview
| NPI | 1104424621 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2020 |
| Last updated in NPPES | Oct 16, 2020 |
| Certified by provider | Oct 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Foot and Ankle Surgery Primary | 207XX0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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