Colette Ellis, MD
NPI 1629530225 · General Practice Physician · Fairborn, OH
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colette Ellis, MD is a General Practice Physician provider in Fairborn, OH (NPI 1629530225).
Provider details
- NPI number
- 1629530225
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- S8030 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-04-02
- Last updated
- 2022-07-27
- Certified
- 2022-07-27
Frequently asked questions
- What is Colette Ellis's NPI number?
- Colette Ellis's National Provider Identifier (NPI) is 1629530225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Colette Ellis's specialty?
- Colette Ellis is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Colette Ellis located?
- Colette Ellis's practice location on file with NPPES is 1059 Baywood Dr, Fairborn, OH 45324-2647.
- What is Colette Ellis's phone number?
- The practice phone number listed in the NPPES registry for Colette Ellis is (713) 339-0341.
- Does Colette Ellis accept Medicare?
- Colette Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Colette Ellis's NPI active?
- Yes — Colette Ellis's NPI (1629530225) is active in the NPPES registry as of the last update on 2022-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.