Individual provider

Kathy Shum Ellington, D.O.

Obstetrics & Gynecology Physician Medicare enrolled

Kathy Shum Ellington, D.O. is an Obstetrics & Gynecology Physician in Tyler, TX, registered under NPI 1891316147.

Getting there

The practice address on file is 2017 RICKETY LN, Tyler, TX 75703. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2017 RICKETY LN, Tyler, TX 75703 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
V1617 TX Obstetrics & Gynecology Physician primary

This provider holds licence V1617 issued in TX. 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 - Obstetrics/gynecology
PAC ID
6901229806
Enrollment ID
I20240711004001

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. 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.

What Obstetrics & Gynecology covers

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology

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.

NPI1891316147 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 28, 2020
Last updatedJun 29, 2026
StatusActive
Sole proprietorNo
GenderFemale
CredentialD.O.
Practice address 2017 RICKETY LN
Tyler, TX 75703
(903) 533-8811
Fax (903) 593-5511
Other names Kathy Shum Former Legal Business Name
This record was updated on Jun 29, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1891316147 passes the NPI check digit test The final digit 7 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 8 9 1 3 1 6 1 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 9 1 6 1 3 1 8

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

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 1891316147?
NPI 1891316147 is the National Provider Identifier assigned to Kathy Shum Ellington, D.O. in Tyler, TX. 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 Obstetrics & Gynecology Physician cover?
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
How do I contact Kathy Shum Ellington, D.O.?
The phone number on file with NPPES is (903) 533-8811, last updated Jun 29, 2026. 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 Kathy Shum Ellington, D.O. 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 1891316147 a valid number?
Yes. 1891316147 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.