Ellis Enabosi, M.D.
Internal Medicine Physician · Staten Island, NY
Ellis Enabosi, M.D. is an internal medicine physician with a practice address in Staten Island, New York, and NPI 1669866158, issued on Mar 24, 2015. Check the license (New York 291470, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Ellis Enabosi
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 291470 NY
Self-reported in NPPES; status is on the state search - Practice location
- 455 Jersey St, Staten Island, NY 10301
- Phone
- (187) 524-5611
- Enumerated
- Mar 24, 2015
- Record last updated
- Jan 8, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20171129002536); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 12,067 in New York → Look up another NPI →
Verify Ellis Enabosi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 291470Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 4 group practices
- Bronx Medical Practice PCBronx, NY
- Fresh Meadows Physician Practice PLLCFresh Meadows, NY
- Medical Services OF Northeastern Queens PLLCElmhurst, NY
- Peyman Younesi MD PLLCFlushing, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ellis Enabosi among 12,067 internal medicine physician records in New York
Ellis Enabosi, M.D. is one of 12,067 internal medicine physician records with a practice address in New York. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 75% of them.
- NPI issued2015 · 75% of these records are older, 23% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2012 · median 2002 among the 7,221 with a school on file
- Record last updated2021 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
298 internal medicine physician records list a practice address in Staten Island
They are 298 of the 12,351 NPPES records with a practice address in Staten Island, and 12,067 internal medicine physician records in New York.
All 12,067 in New York → Every provider in Staten Island → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Nabil Alacha, MDStaten Island, NY 103011588625388
- Rita Albano, MDStaten Island, NY 103011174587349
- Nicole Borges, MDStaten Island, NY 103011023079563
- Maria Bunag, MDStaten Island, NY 103011144287533
- Anna Dibona, MDStaten Island, NY 103011881629053
- William Howe, MDStaten Island, NY 103011982762001
- Sharila Krishnan, MDStaten Island, NY 103011578525994
- Mara Lagzdins, M.D.Staten Island, NY 103011336309905
Common questions
What is Ellis Enabosi, M.D.'s NPI number?
Ellis Enabosi, M.D.'s National Provider Identifier (NPI) is 1669866158, issued on Mar 24, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Ellis Enabosi, M.D. located?
The NPPES record lists a practice address at 455 Jersey St, Staten Island, NY, 10301. Phone: (187) 524-5611. Providers update this record themselves, so call before visiting.
How can I verify Ellis Enabosi, M.D.'s license?
NPPES lists New York license number 291470, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.