Organization Active NPI

Elevate Health PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1013102052
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2402 Issued in TX
Legal business name
ELEVATE HEALTH PA
Practice address
1801 North Loop W
Suite 10
Houston, TX 77008-1444
Phone
(713) 862-4963
Fax
(713) 880-3485
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Kevin Giglio, M.D.NPI 1730178013
Title
President
Phone
(713) 862-4963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H2402 TX Primary

Addresses

Primary practice location

1801 North Loop W
Suite 10
Houston, TX 77008-1444

Mailing address

1801 North Loop W
Suite 10
Houston, TX 77008-1444
Phone (713) 862-4963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000863 TX Part B Supplier - Clinic/Group Practice 3375722622 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1801 North Loop W
Ste 10
Houston, TX 77008
Phone (713) 862-4963

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1013102052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NORTH LOOP W",
            "address_2": "SUITE 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081444",
            "telephone_number": "713-862-4963",
            "fax_number": "713-880-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NORTH LOOP W",
            "address_2": "SUITE 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081444",
            "telephone_number": "713-862-4963",
            "fax_number": "713-880-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "GIGLIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-862-4963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.