Ellie Kelepouris, MD - Medicare Nephrology in Philadelphia, PA

Ellie Kelepouris, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Philadelphia, Pennsylvania. She graduated from medical school in 1976 and has 48 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice University Of Penn-medical Group and her current practice location is 216 N. Broad St., 5th Floor, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 762-1147.

Ellie Kelepouris is licensed to practice in Pennsylvania (license number MD038124L) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790773547.

Contact Information

Ellie Kelepouris, MD
216 N. Broad St., 5th Floor,
Philadelphia, PA 19102
(215) 762-1147
(215) 762-1904

Map and Direction




Physician's Profile

Full NameEllie Kelepouris
GenderFemale
SpecialityNephrology
Experience48 Years
Location216 N. Broad St., Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ellie Kelepouris graduated from medical school in 1976
  NPI Data:
  • NPI Number: 1790773547
  • Provider Enumeration Date: 10/06/2005
  • Last Update Date: 11/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6507770708
  • Enrollment ID: I20031112000758

Medical Identifiers

Medical identifiers for Ellie Kelepouris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790773547NPI-NPPES
0008593700002MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology MD038124L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Davita Buttonwood DialysisPhiladelphia, PADialysis facility
Hospital Of Univ Of PennsylvaniaPhiladelphia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Penn-medical Group62047309553051

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ellie Kelepouris allows following entities to bill medicare on her behalf.
Entity NameDrexel University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902900095
PECOS PAC ID: 5496664740
Enrollment ID: O20140729001682
Entity NameUniversity Of Penn-medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043670805
PECOS PAC ID: 6204730955
Enrollment ID: O20150221000124

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellie Kelepouris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellie Kelepouris, MD
1601 Cherry St., Suite 11511,
Philadelphia, PA 19102

Ph: (215) 255-7822
Ellie Kelepouris, MD
216 N. Broad St., 5th Floor,
Philadelphia, PA 19102

Ph: (215) 762-1147

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.