NPIMap

Individual provider Active NPI

Elizabeth Lynn Ulrich Peckham, D.O.

  • Neurology Physician
  • Round Rock, TX
National Provider Identifier
1154533743
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M7513 Issued in TX
Practice address
16040 Park Valley Dr
Building B, Suite 100
Round Rock, TX 78681-3578
Phone
(512) 218-1222
Fax
(512) 218-1393
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X M7513 TX Primary

Addresses

Primary practice location

16040 Park Valley Dr
Building B, Suite 100
Round Rock, TX 78681-3578

Mailing address

16040 Park Valley Dr
Building B, Suite 100
Round Rock, TX 78681-3578
Phone (512) 218-1222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.peckham.1@32973.direct.athenahealth.com Direct

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
I20071120000687 TX Practitioner - Neurology 3577651876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of North Texas HSC, College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Texas Neurology Consultants PAGroup PAC ID 9133132673, 6 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

16040 Park Valley Dr
Round Rock, TX 78681-3578
Phone (512) 218-1222

3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247

Hospital & facility affiliations

  • Choice Austin Homecare Home health agency, Austin, TX, CCN 747955
  • Vitalcaring Group Home health agency, Temple, TX, CCN 457159
  • Progressive Home Health Agency Home health agency, Buda, TX, CCN 453125
  • Enhabit Home Health Home health agency, Georgetown, TX, CCN 679647
  • Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Merit-based Incentive Payment System (MIPS)

Final score
20.7 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7513TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Neurology Consultants, PA CurrentSince Feb 1, 2014 Accepting new patients
Neurology Specialists PLLC Neurology PastSince Jan 15, 2023 Accepting new patients

Locations

16040 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 218-1222

16040 Park Valley Dr
Bldg B100
Round Rock, TX 78681
Phone (512) 218-1222

Organizations & group practices 3

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 9

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1154533743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 PARK VALLEY DR",
            "address_2": "BUILDING B, SUITE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813578",
            "telephone_number": "512-218-1222",
            "fax_number": "512-218-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 PARK VALLEY DR",
            "address_2": "BUILDING B, SUITE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813578",
            "telephone_number": "512-218-1222",
            "fax_number": "512-218-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKHAM",
        "first_name": "ELIZABETH",
        "middle_name": "LYNN ULRICH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M7513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.peckham.1@32973.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16040 Park Valley Dr",
            "address_2": "Building B, suite 100",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786813578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.