Individual provider Active NPI

Martin G McElya, DO

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1154329746
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1555 Issued in TX
Practice address
5917 Belt Line Rd
Dallas, TX 75254-7703
Phone
(972) 726-6464
Fax
(972) 726-6444
NPI assigned
Jul 8, 2005
Reactivated
Mar 29, 2006
Last updated
Mar 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K1555 TX Primary

Addresses

Primary practice location

5917 Belt Line Rd
Dallas, TX 75254-7703

Mailing address

5917 Belt Line Rd
Dallas, TX 75254-7703
Phone (972) 726-6464

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
I20200507002289 TX Practitioner - Family Practice 2769784248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5917 Belt Line Rd
Dallas, TX 75254-7703
Phone (972) 275-6910

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1555TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin McElya DO PA Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Neighborhood Medical Centers, Inc Family Medicine Past Accepting new patients

Locations

5917 Belt Line Rd
Dallas, TX 75254
Phone (972) 275-6910

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, 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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1154329746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 BELT LINE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547703",
            "telephone_number": "972-726-6464",
            "fax_number": "972-726-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 BELT LINE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547703",
            "telephone_number": "972-726-6464",
            "fax_number": "972-726-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELYA",
        "first_name": "MARTIN",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-03-23",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.