Individual provider Active NPI

Elizabeth Anne Seaberg, MD

  • Diagnostic Radiology Physician
  • Plano, TX
National Provider Identifier
1104884840
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L3815 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075
Phone
(972) 596-6800
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L3815 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075

Mailing address

1820 Preston Park Blvd
Ste 1825
Plano, TX 75093-3656
Phone (972) 867-7862

Other identifiers 2

IdentifierTypeStateIssuer
175419402MedicaidTX
8D8501OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050901000421 TX Practitioner - Diagnostic Radiology 0244262004 Reassigns benefits to 3 organizations
I20240501002567 AZ Practitioner - Diagnostic Radiology 0244262004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

13731 Danvers Dr
Dallas, TX 75240-3503
Phone (480) 425-4065

9220 E Mountain View Rd
Suite 100
Scottsdale, AZ 85258-5134
Phone (480) 425-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 3, 2024 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients

Locations (25 of 32)

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

3870 W River Rd
Tucson, AZ 85741
Phone (520) 219-6616

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1104884840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "STE 1825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "972-867-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABERG",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L3815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175419402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8D8501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.