Individual provider Active NPI

Eli Theodore Anderson, M.D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1053342634
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E6214 Issued in TX
Practice address
5500 Guhn Rd
Houston, TX 77040-6161
Phone
(713) 783-8889
NPI assigned
Jul 5, 2006
Last updated
Sep 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E6214 TX Primary

Addresses

Primary practice location

5500 Guhn Rd
Houston, TX 77040-6161

Mailing address

5500 Guhn Rd
Houston, TX 77040-6161

Other practice location 1

111 Vision Park Blvd Ste 100
Shenandoah, TX 77384-3003
Phone (713) 714-1399

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
I20040511001520 TX Practitioner - PsychiatryPractitioner - Neuropsychiatry 4082603238 Reassigns benefits to 2 organizations
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Baylor College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LK and D Enterprises LLCGroup PAC ID 4789734013, 7 clinicians

Practice addresses (Care Compare)

1125 Cypress Station Dr
Suite B 1
Houston, TX 77090-3055
Phone (281) 586-7880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
LK & D Enterprises LLC Psychiatry CurrentSince Apr 2, 2013 Accepting new patients
Compass Mental Health and Wellness LLC CurrentSince Mar 14, 2023 Accepting new patients
Lubbock Regional MHMR Center Psychiatry PastSince May 1, 2022 Accepting new patients

Locations

1125 Cypress Station Dr
Ste B-1
Houston, TX 77090
Phone (281) 537-7207

3934 FM 1960 Rd W
Ste 210
Houston, TX 77068
Phone (281) 836-5452

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1053342634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 GUHN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 GUHN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406161",
            "telephone_number": "713-783-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Vision Park Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843003",
            "country_code": "US",
            "telephone_number": "713-714-1399",
            "fax_number": "713-389-5798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELI",
        "middle_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E6214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.