Ellen J. L. Go

M.D. | Pediatric Rheumatology | Female

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Complete Profile:

Ellen J. L. Go basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Rheumatology
Provider Name :	Ellen J. L. Go
Credential :	M.D.
Gender :	Female

Business Address:

Ellen J. L. Go address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Rr 307 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-274-2172
Fax Number :	317-278-3031

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1699059188
NPI Entity Type :	Individual
First Enrolment Date :	04 Oct, 2011
Last Updated On :	19 Sep, 2022

Medicare Participation:

Ellen J. L. Go participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7113226283
Medicare Enrollment ID :	I20170516001138
Primary Specialty :	Rheumatology
Medical School :	Other
Graduation Year :	2008
Accepts Medicare?	Yes. Ellen J. L. Go accepts medicare insurance.

Group Practice Association:

Ellen J. L. Go is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ellen J. L. Go is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellen J. L. Go are as mentioned. Primary taxonomy code for Ellen J. L. Go, M.D. is 2080P0216X (Pediatrics, Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0216X	Pediatrics, Pediatric Rheumatology	Yes	01074044A	IN

Legacy Identifiers:

Other legacy medical identifiers of Ellen J. L. Go such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
300003103	MEDICAID	IN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1026 Indianapolis, IN, 46206-1026 United States
Phone Number :	317-777-6435
Fax Number :	317-777-6644

Business Location:

Patients can refer following map for directions to Ellen J. L. Go practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.