Individual provider Active NPI

Elena Gurova, M.D.

  • Internal Medicine Physician
  • Cleburne, TX
National Provider Identifier
1023002144
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7404 Issued in TX
Practice address
519 N Main St
Cleburne, TX 76033-3845
Phone
(817) 645-5915
Fax
(817) 645-5935
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L7404 TX Primary
Internal Medicine Physician 207R00000X 2002-0425 NM

Addresses

Primary practice location

519 N Main St
Cleburne, TX 76033-3845

Mailing address

PO Box 770
Cleburne, TX 76033-0770
Phone (817) 645-5915

Other identifiers 3

IdentifierTypeStateIssuer
45D1056377OtherTXCLIA WAIVER NUMBER
J0130220OtherTXTEXAS DPS NUMBER
158386603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000606 TX Practitioner - Internal Medicine 6709809841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

519 N Main St
Cleburne, TX 76033-3845
Phone (817) 645-5915

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Fort Worth, TX, CCN 679167
  • Texas Health Harris Methodist Hospital Cleburne Hospital, Cleburne, TX, CCN 450148
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2002-0425NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elena Gurova, MD PA Internal Medicine CurrentSince Sep 1, 2006 Accepting new patients

Locations

519 N Main St
Cleburne, TX 76033
Phone (817) 645-5904

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023002144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760330770",
            "telephone_number": "817-645-5915",
            "fax_number": "817-645-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N MAIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333845",
            "telephone_number": "817-645-5915",
            "fax_number": "817-645-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUROVA",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7404",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2002-0425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER NUMBER",
            "identifier": "45D1056377",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DPS NUMBER",
            "identifier": "J0130220",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158386603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.