Active NPI
Elena Gurova, M.D.
- Internal Medicine Physician
- Cleburne, TX
National Provider Identifier
1023002144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L7404
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D1056377 | Other | TX | CLIA WAIVER NUMBER |
| J0130220 | Other | TX | TEXAS DPS NUMBER |
| 158386603 | Medicaid | TX |
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
Enrollment records 1
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
- Texas Health Harris Methodist Hospital Cleburne
- Texas Health Huguley Hospital Fort Worth South
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002-0425 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elena Gurova, MD PA | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Cleburne, TX
- NPI 1790862316
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Worth, TX
- NPI 1326126632
-
- General Acute Care Hospital
- Cleburne, TX
- NPI 1396778064
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1518355759
-
- General Acute Care Hospital
- Burleson, TX
- NPI 1033120423
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1548273881
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.