OrganizationActive
Ellis Pediatrics
NPI 1790932259 · Pediatrics Physician · Austin, TX
Provider details
- NPI number
- 1790932259
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leighton Ellis, Owner/President(512) 491-5125
- License
- K2457 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
12201 Renfert Way
Suite 110
Austin, TX 78758-5354
Phone: (512) 491-5125
Fax: (512) 491-8521
Street-level locationGet directions
Mailing address
12201 Renfert Way
Austin, TX 78758-5354
Other names (DBA / former)
- Doing business as
- North Austin Pediatrics, P.A.
Registry dates
- Enumerated
- 2008-08-26
- Last updated
- 2008-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.