JOHN B. ELLSWORTH M.D. – NPI #1083619043
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

NPI Profile
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JOHN ELLSWORTH is an urologist located in SAINT GEORGE, UT. NPPES has assigned the NPI number 1083619043 to JOHN ELLSWORTH on June 16, 2005. 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 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on Apr 30, 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 JOHN ELLSWORTH below.

NPI Profile for
JOHN B. ELLSWORTH

NPI Number

1083619043

Enumeration Date

Jun 16, 2005
(about 21 years ago)

Entity Type

Type-1 Individual (Male)

Legal Name

JOHN B. ELLSWORTH

Credentials

M.D.

Primary location

736 S 900 E STE 108
SAINT GEORGE, UT 84790

Phone: (435) 628-3606 Fax: (435) 628-8404

2 Other location(s):

4951 S White Mountain Rd Bldg A
Show Low, AZ 85901-7827
Phone: (928) 537-6700

340 Falcon Ridge Pkwy Ste 203
Mesquite, NV 89027-8851
Phone: (435) 628-3606
Fax: (435) 628-8404

Mailing address

Same as primary location

Sole Proprietor

Yes

Updated

Apr 30, 2025

Certification Date

Apr 30, 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 JOHN 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

Description	Issuer	State	Identifier
other	ALTIUS	UT	QM0000076522
other	BC BS	UT	18855012000001
other	CIGNA	UT	6411882
other	DMBA	UT	751575
other	EMIA	UT	870562879ELL
other	HUMANA	UT	005575530
other	IHC	UT	107011798101
other	MEDICARE ID FOR NEVADA PRACTICE LOCATION	NV	V108245
other	PEHP	UT	68471
other	RR MEDICARE	UT	340020123

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
208800000X - Urology (Primary)	AZ	77080
174400000X - Specialist	UT	188550-1205

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 NEVADA SCHOOL OF MEDICINE - Graduated 1991

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

JOHN ELLSWORTH is affiliated with the following medical group(s):

HOSPITAL
- CEDAR CITY HOSPITAL
  1303 NORTH MAIN STREET
  CEDAR CITY, UT 84721
- KANE COUNTY HOSPITAL
  355 NORTH MAIN STREET
  KANAB, UT 84741
- MESA VIEW REGIONAL HOSPITAL
  1299 BERTHA HOWE AVENUE
  MESQUITE, NV 89027
- ST. GEORGE REGIONAL HOSPITAL
  1380 EAST MEDICAL CENTER DRIVE
  ST GEORGE, UT 84790
HOME HEALTH AGENCY
- COMFORT HOME HEALTH
  6655 WEST SAHARA AVE, STE D202
  LAS VEGAS, NV 89146
- ZION'S WAY HOME HEALTH
  1173 SOUTH 250 WEST, SUITE 401
  ST GEORGE, UT 84770

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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.