Individual provider Active NPI

Elise Breaux Rogers, MD

  • Obstetrics & Gynecology Physician
  • Shenandoah, TX
National Provider Identifier
1104367531
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
T2054 Issued in TX
Practice address
17189 Interstate 45 S Ste 395
Shenandoah, TX 77385-3319
Phone
(936) 270-3662
Fax
(936) 270-3665
NPI assigned
Mar 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X T2054 TX Primary

Addresses

Primary practice location

17189 Interstate 45 S Ste 395
Shenandoah, TX 77385-3319

Mailing address

17189 Interstate 45 S Ste 395
Shenandoah, TX 77385-3319
Phone (936) 270-3662

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
I20210812001595 TX Practitioner - Obstetrics/Gynecology 9739452665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

17201 Interstate 45 S
The Woodlands, TX 77385-3311
Phone (800) 967-2289

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 2, 2021 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 2, 2021 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 28, 2025 Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

17189 Interstate 45 S
Ste 395
Shenandoah, TX 77385

17183 Interstate 45 S
Ste 53017183
Shenandoah, TX 77385

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

Organizations & group practices 4

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 1

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": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1104367531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 395",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853319",
            "telephone_number": "936-270-3662",
            "fax_number": "936-270-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 395",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853319",
            "telephone_number": "936-270-3662",
            "fax_number": "936-270-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ELISE",
        "middle_name": "BREAUX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-18",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "T2054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.