Ellis Enabosi, M.D.
NPI 1669866158 · Internal Medicine Physician · Staten Island, NY
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellis Enabosi, M.D. is a Internal Medicine Physician provider in Staten Island, NY (NPI 1669866158).
Provider details
- NPI number
- 1669866158
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 291470 (NY)
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 tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
8,193 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 4,658 | $83 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 2,334 | $83 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 334 | $120 |
| Initial Nursing Facility Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99304 | 321 | $90 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 265 | $45 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes |
Practice location
Mailing address
Additional practice locations (2)
- 460 N Maple AveEast Orange, NJ 07017-4619Phone: (973) 280-9600
- 2015 Grand ConcourseBronx, NY 10453-4303Phone: (718) 299-7295Fax: (718) 618-6797
Registry dates
- Enumerated
- 2015-03-24
- Last updated
- 2021-01-08
- Certified
- 2021-01-08
Frequently asked questions
- What is Ellis Enabosi's NPI number?
- Ellis Enabosi's National Provider Identifier (NPI) is 1669866158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellis Enabosi's specialty?
- Ellis Enabosi is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ellis Enabosi located?
- Ellis Enabosi's practice location on file with NPPES is 455 Jersey St, Staten Island, NY 10301-2976.
- What is Ellis Enabosi's phone number?
- The practice phone number listed in the NPPES registry for Ellis Enabosi is (187) 524-5611.
- Does Ellis Enabosi accept Medicare?
- Ellis Enabosi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ellis Enabosi's NPI active?
- Yes — Ellis Enabosi's NPI (1669866158) is active in the NPPES registry as of the last update on 2021-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.