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Charles Ellis, MD
NPI 1053406793 · Dermatology Physician · Ann Arbor, MI
Charles Ellis, MD is a Dermatology Physician provider in Ann Arbor, MI (NPI 1053406793).
Provider details
- NPI number
- 1053406793
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301039740 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 East Medical Center Dr
1st Floor Taubman Ctr Recp B
Ann Arbor, MI 48109-5314
Phone: (734) 936-4054
Street-level locationGet directions
Mailing address
3621 S State St
Ann Arbor, MI 48108
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2012-03-01
Frequently asked questions
- What is Charles Ellis's NPI number?
- Charles Ellis's National Provider Identifier (NPI) is 1053406793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Ellis's specialty?
- Charles Ellis is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Ellis located?
- Charles Ellis's practice location on file with NPPES is 1500 East Medical Center Dr, Ann Arbor, MI 48109-5314.
- What is Charles Ellis's phone number?
- The practice phone number listed in the NPPES registry for Charles Ellis is (734) 936-4054.
- Is Charles Ellis's NPI active?
- Yes — Charles Ellis's NPI (1053406793) is active in the NPPES registry as of the last update on 2012-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.