RENEE A. ELLIS M.D. – NPI #1134391733
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

RENEE ELLIS is a physician located in FORT WORTH, TX. NPPES has assigned the NPI number 1134391733 to RENEE ELLIS on March 24, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 6 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Jan 09, 2026. 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 RENEE ELLIS below.

NPI Profile for
RENEE A. ELLIS

NPI Number
1134391733
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
RENEE A. ELLIS
Credentials
M.D.
Primary location
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110-1866
Phone: (682) 207-1700 Fax: (682) 250-5246
6 Other location(s):
11803 South Fwy Ste 201
Burleson, TX 76028-7029
Phone: (682) 207-1700
Fax: (682) 250-5246
10840 Texas Health Trl Ste 200
Fort Worth, TX 76244-6848
Phone: (682) 207-1700
Fax: (682) 250-5246
5901 S Hulen St Ste B
Fort Worth, TX 76132-2687
Phone: (682) 207-1700
Fax: (682) 250-5246
6312 Azle Ave
Lake Worth, TX 76135-2442
Phone: (682) 207-1700
Fax: (682) 250-5246
4351 Booth Calloway Rd Ste 404
North Richland Hills, TX 76180-7381
Phone: (682) 207-1700
Fax: (682) 250-5246
101 Crown Pointe Blvd Ste 340
Willow Park, TX 76087-1197
Phone: (682) 207-1700
Fax: (682) 250-5246
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 09, 2026

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 RENEE 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
medicaidSC48355
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
207RN0300X
- Internal Medicine / Nephrology (Primary)		 SC 31193

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1902 WINDSOR PL STE 102,
FORT WORTH, TX 77025-1669

Additional Information

Education
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY - Graduated 1999
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
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
RENEE ELLIS is affiliated with the following medical group(s):
  • HOSPITAL
    • LEXINGTON MEDICAL CENTER
      2720 SUNSET BLVD
      WEST COLUMBIA, SC 29169
    • PRISMA HEALTH BAPTIST
      1330 TAYLOR AT MARION ST
      COLUMBIA, SC 29220
    • PRISMA HEALTH BAPTIST PARKRIDGE
      400 PALMETTO HEALTH PARKWAY
      COLUMBIA, SC 29212
    • PRISMA HEALTH RICHLAND HOSPITAL
      5 MEDICAL PARK
      COLUMBIA, SC 29203
    • PROVIDENCE HEALTH
      2435 FOREST DRIVE
      COLUMBIA, SC 29204

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
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.