Individual provider

Ellena Boddie, M.D.

Hospitalist Physician Internal Medicine Physician Pain Medicine (Physical Medicine & Rehabilitation) Physician Medicare enrolled

Ellena Boddie, M.D. is a Hospitalist Physician in Sarasota, FL, registered under NPI 1689673790. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1507 S TUTTLE AVE, Sarasota, FL 34239. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1507 S TUTTLE AVE, Sarasota, FL 34239 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
036116967 IL Hospitalist Physician primary
M15405 ID Internal Medicine Physician
4301502442 MI Internal Medicine Physician
TM2020-0627 NM Internal Medicine Physician
036116967 IL Internal Medicine Physician
13001A WY Internal Medicine Physician
00041414 AL Internal Medicine Physician
ME146842 FL Internal Medicine Physician
01057385A IN Internal Medicine Physician
ME146842 FL Pain Medicine (Physical Medicine &…

Licences are recorded in 8 states: IL, ID, MI, NM, WY, AL, FL, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Internal Medicine
PAC ID
0840399515

Enrolled in Medicare 5 times, across 5 states:

StateEnrollment IDProvider type
Illinois I20070620000614 Practitioner - Internal Medicine
Florida I20201105001302 Practitioner - Internal Medicine
Michigan I20201120001808 Practitioner - Internal Medicine
Arizona I20210412000518 Practitioner - Internal Medicine
Oklahoma I20231122002019 Practitioner - Internal Medicine

Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. There are 5 separate enrolment records across 5 states (IL, FL, MI, AZ, OK). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 8 states

This provider holds licences in 8 states: Alabama, Florida, Idaho, Illinois, Indiana, Michigan, New Mexico and Wyoming. The practice address on file is in Sarasota, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AL Alabama
Licence
00041414
Specialty
Internal Medicine Physician
Verify with the AL board →
FL Florida practice address
Licence
ME146842
Specialty
Internal Medicine Physician
Verify with the FL board →
ID Idaho
Licence
M15405
Specialty
Internal Medicine Physician
Verify with the ID board →
IL Illinois
Licence
036116967
Specialty
Hospitalist Physician
Verify with the IL board →
IN Indiana
Licence
01057385A
Specialty
Internal Medicine Physician
Verify with the IN board →
MI Michigan
Licence
4301502442
Specialty
Internal Medicine Physician
Verify with the MI board →
NM New Mexico
Licence
TM2020-0627
Specialty
Internal Medicine Physician
Verify with the NM board →
WY Wyoming
Licence
13001A
Specialty
Internal Medicine Physician
Verify with the WY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Hospitalist covers

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. NUCC Health Care Provider Taxonomy, code 208M00000X
Allopathic & Osteopathic Physicians Hospitalist

All registered taxonomy codes

This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208M00000X Hospitalist Physician 036116967 IL primary
207R00000X Internal Medicine Physician M15405 ID
207R00000X Internal Medicine Physician 4301502442 MI
207R00000X Internal Medicine Physician TM2020-0627 NM
207R00000X Internal Medicine Physician 036116967 IL
207R00000X Internal Medicine Physician 13001A WY
207R00000X Internal Medicine Physician 00041414 AL
207R00000X Internal Medicine Physician ME146842 FL
207R00000X Internal Medicine Physician 01057385A IN
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine ME146842 FL

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.

NPI1689673790 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 20, 2005
Last updatedFeb 11, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1507 S TUTTLE AVE
Sarasota, FL 34239
(301) 722-0484
Fax (833) 903-0130
Mailing address 157 BALTIMORE ST STE 100
Cumberland, MD 21502
This record was updated on Feb 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1689673790 passes the NPI check digit test The final digit 0 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 6 8 9 6 7 3 7 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 7 9 3 7 6 7 9

Sum = 80 · next multiple of 10 = 80 · check digit = 0 · actual last digit = 0

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 1689673790?
NPI 1689673790 is the National Provider Identifier assigned to Ellena Boddie, M.D. in Sarasota, FL. 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 Hospitalist Physician cover?
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for…
How do I contact Ellena Boddie, M.D.?
The phone number on file with NPPES is (301) 722-0484, last updated Feb 11, 2025. 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 Ellena Boddie, 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 1689673790 a valid number?
Yes. 1689673790 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.