NPIMap

Individual provider Active NPI

Vijayshekar Elati, M.D.

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1124105937
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N2066 Issued in TX
Practice address
21336 Provincial Blvd
Katy, TX 77450-7580
Phone
(281) 809-0085
Fax
(281) 809-0083
NPI assigned
Nov 1, 2006
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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 N2066 TX Primary
Hospitalist Physician 208M00000X N2066 TX

Addresses

Primary practice location

21336 Provincial Blvd
Katy, TX 77450-7580

Mailing address

21336 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 809-0085

Other identifiers 2

IdentifierTypeStateIssuer
00J21AOtherTXGROUP MEDICARE PIN
094010801OtherTXGROUP MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000904 TX Practitioner - Internal MedicinePractitioner - Hospitalist 2062413750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Internal Medicine Associates PAGroup PAC ID 8123298916, 2 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

21336 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 809-0085

7200 Cambridge St
FL 10
Houston, TX 77030-4202
Phone (713) 798-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2066TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince May 19, 2020 Accepting new patients
Baylor College of Medicine Internal Medicine CurrentSince May 19, 2020 Accepting new patients
Houston Internal Medicine Associates PA Internal Medicine CurrentSince Jun 1, 2011 Accepting new patients
Oakbend Medical Center Past Accepting new patients
Community Hospitalist Medical Group Inc. Internal Medicine Past Accepting new patients

Locations

21216 Northwest Fwy
Ste 230
Cypress, TX 77429
Phone (832) 377-3260

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

21336 Provincial Blvd
Katy, TX 77450
Phone (281) 809-0085

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1124105937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21336 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-809-0085",
            "fax_number": "281-809-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21336 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-809-0085",
            "fax_number": "281-809-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELATI",
        "first_name": "VIJAYSHEKAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2066",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N2066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "00J21A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "094010801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.