Individual provider Active NPI

Ezra Samuel Elkayam, MD

  • Neurology Physician
  • El Paso, TX
National Provider Identifier
1023091477
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J1083 Issued in TX
Practice address
2311 N Mesa St Ste F
El Paso, TX 79902-3575
Phone
(915) 544-6400
Fax
(915) 544-2836
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Neurology Physician 2084N0400X J1083 TX Primary
Neurology Physician 2084N0400X ME88890 FL

Addresses

Primary practice location

2311 N Mesa St Ste F
El Paso, TX 79902-3575

Mailing address

2311 N Mesa St Ste F
El Paso, TX 79902-3575
Phone (915) 544-6400

Other practice location 1

3640 Joe Battle Blvd # 100
El Paso, TX 79938-2628
Phone (915) 544-6400

Other identifiers 3

IdentifierTypeStateIssuer
1541966MedicaidLA
269879000MedicaidFL
09737392MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210830000884 TX Practitioner - Neurology 2567413404 Reassigns benefits to 1 organization
I20240625002127 FL Practitioner - Neurology 2567413404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Specialty Physician Alliance LLCGroup PAC ID 8921473927, 27 clinicians

Practice addresses (Care Compare)

200 3Rd Ave W
Suite 110
Bradenton, FL 34205-8628
Phone (941) 746-3115

206 2ND St E
Bradenton, FL 34208-1042
Phone (941) 746-5111

2311 N Mesa St
Suite F
El Paso, TX 79902-3575
Phone (915) 544-6400

2473 Care Dr
Suite 102
Tallahassee, FL 32308-9815
Phone (850) 431-5001

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174
Phone (941) 782-2100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Specialty Physician Alliance, LLC Neurology CurrentSince May 1, 2024 Accepting new patients
Boris Kaim, MD PA Neurology CurrentSince Jul 12, 2021 Accepting new patients
Frontier Neurology PLLC Neurology CurrentSince Feb 22, 2023 Accepting new patients
Ezra S Elkayam MD PA Specialist PastSince Nov 3, 2004 Accepting new patients
Bay County Health System LLC PastSince Feb 1, 2020 Accepting new patients
Neuroscience and Spine Associates PL Past Accepting new patients

Locations

200 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 744-2700

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

3640 Joe Battle Blvd
Ste 100
El Paso, TX 79938
Phone (915) 313-4949

3640 Joe Battle Blvd
#100
El Paso, TX 79938
Phone (915) 544-6400

2311 N Mesa St
Ste F
El Paso, TX 79902
Phone (915) 444-6400

Networks

  • FL PPO
  • Freedom Health HMO Network

Organizations & group practices 7

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

Hospital & facility affiliations 3

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1023091477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-544-6400",
            "fax_number": "915-544-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-544-6400",
            "fax_number": "915-544-2836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 Joe Battle Blvd # 100",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382628",
            "country_code": "US",
            "telephone_number": "915-544-6400",
            "fax_number": "915-544-2836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKAYAM",
        "first_name": "EZRA",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J1083",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME88890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1541966",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269879000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09737392",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.