Individual provider Active NPI

Elias Z Cortez, NURSE PRACTITIONER

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1083905665
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
697661 Issued in TX
Practice address
17202 Red Oak
Suite 303
Houston, TX 77090-2647
Phone
(281) 440-9500
Fax
(281) 440-9503
NPI assigned
Apr 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 697661 TX Primary

Addresses

Primary practice location

17202 Red Oak
Suite 303
Houston, TX 77090-2647

Mailing address

17202 Red Oak Dr
Suite 303
Houston, TX 77090-2647
Phone (281) 440-9500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903000664 TX Practitioner - Nurse Practitioner 3971042177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
697661TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Aug 19, 2024 Accepting new patients
L.a. Khan, M.D., P.a. Past Accepting new patients

Locations

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

17600 Interstate 45 S
The Woodlands, TX 77384
Phone (936) 267-5000

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHCJAA
  • Direct secure messaging: ecortezguadiana179928@prddirect.texaschildrens.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1083905665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17202 RED OAK DR",
            "address_2": "SUITE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902647",
            "telephone_number": "281-440-9500",
            "fax_number": "281-440-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17202 RED OAK",
            "address_2": "SUITE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902647",
            "telephone_number": "281-440-9500",
            "fax_number": "281-440-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "ELIAS",
        "middle_name": "Z",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "697661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.