ROBERT M. ELLSWORTH MD – NPI #1972578979
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

ROBERT ELLSWORTH is a radiologist located in WORCESTER, MA. NPPES has assigned the NPI number 1972578979 to ROBERT ELLSWORTH on February 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 17 years ago on Feb 03, 2009. 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 ROBERT ELLSWORTH below.

NPI Profile for
ROBERT M. ELLSWORTH

NPI Number
1972578979
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT M. ELLSWORTH
Credentials
MD
Primary location
135 GOLD STAR BLVD
WORCESTER, MA 01606
Phone: (508) 853-2716 Fax: (508) 856-9025
Mailing address
630 PLANTATION ST
WORCESTER, MA 01605
Phone: (508) 853-2716 Fax: (508) 856-9025
Sole Proprietor
No
Updated
Identifiers

Identifiers for ROBERT ELLSWORTH

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA5635531
OTHERBLUE CARE ELECTC05097
OTHERBLUE SHIELD HMO BLUEC05097
OTHERBLUE SHIELD INDEMNITYC05097
OTHERCHILDRENS MEDICAL SECURIT26802
OTHERCIGNA HEALTH PLAN4476761
OTHERFALLON COMMUNITY HEALTH P9900863
OTHERFIRST HEALTH1150042
OTHERHARVARD PILGRIM HEALTH CAAA4010
OTHERHEALTHCARE VALUE MANAGEME042472266
OTHERHEALTHY START26802
OTHERMEDICAID WELFARE2034107
OTHERMEDICARE BC05097
OTHERMVP HEALTH CARE784213
OTHERONE HEALTH PLAN042472266
OTHERPRIVATE HEALTHCARE SYSTEM042472266
OTHERRAILROAD MEDICARE300090862
MEDICAIDMA2034107
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MA 38051

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.