Tina Marie Ellis, MD
NPI 1497072631ActiveIndividual· Anesthesiology· Providence, RI
Anesthesiology (MD) in Providence, Rhode Island, trained at University of Florida College of Medicine (class of 2010). Medicare paid $36,208 for services to 299 patients in 2024.
Overview
| NPI | 1497072631 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 28, 2010 |
| Last updated in NPPES | Mar 27, 2026 |
| Certified by provider | Mar 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | MD14603 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 299 |
|---|---|
| Services billed | 316 across 62 procedure codes |
| Paid by Medicare | $36,208 |
Education and affiliations
| Medical school | University of Florida College of Medicine |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Anesthesiology |
Medical group
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
Hospital affiliations
- Rhode Island HospitalProvidence, RI
- The Miriam HospitalProvidence, RI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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