Individual provider Active NPI

Elizabeth Jaramillo, M.D.

  • Internal Medicine Physician
  • Galveston, TX
National Provider Identifier
1104050780
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P3175 Issued in TX
Practice address
2027 61St St
Galveston, TX 77551-1401
Phone
(409) 789-4022
Fax
(833) 471-5594
NPI assigned
May 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP1-0034945 TX
Internal Medicine Physician 207R00000X P3175 TX Primary

Addresses

Primary practice location

2027 61St St
Galveston, TX 77551-1401

Mailing address

2027 61St St
Galveston, TX 77551-1401
Phone (409) 789-4022

Other identifiers 1

IdentifierTypeStateIssuer
BP1-0034945OtherTXSTATE OF TEXAS PERMIT IN TRAINING

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
I20140110001628 TX Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0941438394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimal Health Primary Care PLLCGroup PAC ID 2466823570, 2 clinicians

Practice addresses (Care Compare)

2027 61St St
Galveston, TX 77551-1401
Phone (409) 789-4022

Hospital & facility affiliations

  • Adaptive Home Health Home health agency, Cameron, TX, CCN 457506
  • Accentcare Home Health of Texas Home health agency, Galveston, TX, CCN 679104
  • Living Hope Home Healthcare Home health agency, Houston, TX, CCN 743196
  • Care Options Health Services Inc Home health agency, Tiki Island, TX, CCN 677976
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0034945TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Primary Care PLLC CurrentSince Jul 27, 2022 Accepting new patients
Utmb Faculty Group Practice Internal Medicine CurrentSince Oct 8, 2013 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

301 University Blvd
#6608
Galveston, TX 77555
Phone (409) 266-9635

2027 61st St
Galveston, TX 77551
Phone (409) 744-9800

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25952/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAGDD/Endpoint/EIAGDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAGDD
  • Direct secure messaging: ejaramillomd5323@direct.utmb.edu

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.

Hospital & facility affiliations 7

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1104050780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 61ST ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511401",
            "telephone_number": "409-789-4022",
            "fax_number": "833-471-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 61ST ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511401",
            "telephone_number": "409-789-4022",
            "fax_number": "833-471-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-0034945",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS PERMIT IN TRAINING",
            "identifier": "BP1-0034945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.