Individual provider Active NPI

Eli Newsome, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1093127540
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q8760 Issued in TX
Practice address
7014 E Camelback Rd Ste 1435
Scottsdale, AZ 85251-1215
Phone
(832) 338-7386
NPI assigned
Jun 2, 2014
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10051168 TX
Family Medicine Physician 207Q00000X Q8760 TX Primary

Addresses

Primary practice location

7014 E Camelback Rd Ste 1435
Scottsdale, AZ 85251-1215

Mailing address

10134 Sagegate Dr
Houston, TX 77089-5125

Other practice location 1

5115 Westheimer Rd Ste 3550
Houston, TX 77056-5529
Phone (832) 338-7386

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
I20170811002636 TX Practitioner - Family Practice 6002187846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4650 Westway Park Blvd
Suite 206
Houston, TX 77041-2006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10051168TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instahealth Urgent Care, PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

23659 Katy Fwy
#500
Katy, TX 77494
Phone (713) 999-0008

Interoperability endpoints

  • Direct secure messaging: eli.newsome.1@12656.direct.athenahealth.com
  • Direct secure messaging: eli.newsome.1@13711.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, 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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1093127540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10134 SAGEGATE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 E CAMELBACK RD STE 1435",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511215",
            "telephone_number": "832-338-7386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 Westheimer Rd Ste 3550",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770565529",
            "country_code": "US",
            "telephone_number": "832-338-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "ELI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10051168",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.