COREY J. ELLIS MD – NPI #1376509323
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Health Care Provider Taxonomy Code for Family Medicine

COREY ELLIS is a physician located in DAYTON, OH. NPPES has assigned the NPI number 1376509323 to COREY ELLIS on April 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

The NPI profile was last updated on Nov 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COREY ELLIS below.

NPI Profile for
COREY J. ELLIS

NPI Number
1376509323
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
COREY J. ELLIS
Credentials
MD
Primary location
30 E APPLE ST
SUITE 2200
DAYTON, OH 45409-2939
Phone: (937) 208-2091 Fax: (937) 208-6141
2 Other location(s):
1 Childrens Plz
Dayton, OH 45404-1815
Phone: (937) 641-4000
Fax: (937) 641-4500
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone: (937) 641-4000
Fax: (937) 641-4619
Mailing address
725 UNIVERSITY BLVD
DAYTON, OH 45435-0001
Phone: (937) 245-7100 Fax: (937) 245-7999
Sole Proprietor
No
Updated
Certification Date
Nov 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COREY ELLIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH2511446
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QS0010X
- Family Medicine / Sports Medicine (Primary)		 OH 35084741
2080S0010X
- Pediatrics / Sports Medicine		 OH 35.084741

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
COREY ELLIS is affiliated with the following medical group(s):
  • HOSPITAL
    • MIAMI VALLEY HOSPITAL
      ONE WYOMING STREET
      DAYTON, OH 45409
    • SOIN MEDICAL CENTER
      3535 PENTAGON PARK BLVD
      BEAVER CREEK, OH 45431

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.