Individual provider

Kevin Ellsworth, M.D.

Neonatal-Perinatal Medicine Physician Medicare enrolled

Kevin Ellsworth, M.D. is a Neonatal-Perinatal Medicine Physician in Gilbert, AZ, registered under NPI 1255607263.

Getting there

The practice address on file is 3420 S MERCY RD STE 205, Gilbert, AZ 85297. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3420 S MERCY RD STE 205, Gilbert, AZ 85297 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
56178 AZ Neonatal-Perinatal Medicine Physician primary

This provider holds licence 56178 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Other (physician)
PAC ID
7113238767

Medicare enrolment is recorded as approved under the provider type Practitioner - Other (physician). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Neonatal-Perinatal Medicine covers

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. NUCC Health Care Provider Taxonomy, code 2080N0001X
Allopathic & Osteopathic Physicians Pediatrics Neonatal-Perinatal Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255607263 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 25, 2012
Last updatedDec 9, 2020
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 3420 S MERCY RD STE 205
Gilbert, AZ 85297
(602) 933-6345
Mailing address 3200 E CAMELBACK RD STE 250
Phoenix, AZ 85018
The last update on file is Dec 9, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1255607263 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 6 0 7 2 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 3 0 5 2 3

Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255607263?
NPI 1255607263 is the National Provider Identifier assigned to Kevin Ellsworth, M.D. in Gilbert, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Neonatal-Perinatal Medicine cover?
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
How do I contact Kevin Ellsworth, M.D.?
The phone number on file with NPPES is (602) 933-6345, last updated Dec 9, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kevin Ellsworth, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255607263 a valid number?
Yes. 1255607263 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.