Individual provider Active NPI

Armando Elizondo III, MD

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1154825016
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
U6229 Issued in TX
Practice address
11212 TX 151 Plaza 1 Ste 230
San Antonio, TX 78251
Phone
(210) 703-8556
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X U6229 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

11212 TX 151 Plaza 1 Ste 230
San Antonio, TX 78251

Mailing address

11212 TX 151
Plaza 1, Suite 230
San Antonio, TX 78251
Phone (210) 703-8556

Other practice location 1

2401 S 31st St # MS -01712
Temple, TX 76508-0001
Phone (254) 724-2366

Other practice location 2

2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894
Phone (210) 705-5100

Other practice location 3

2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894
Phone (210) 705-5100

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
I20230914002714 TX Practitioner - General Surgery 7517214984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

11212 State Hwy
151 Suite 230
San Antonio, TX 78251-4501
Phone (830) 643-7000

11212 State Hwy 151
Suite 205
San Antonio, TX 78251-4498
Phone (310) 704-4172

11212 State Hwy 151
Suite 230
San Antonio, TX 78251-4501
Phone (830) 643-7000

2833 Babcock Rd
Suite 435
San Antonio, TX 78229-4850
Phone (210) 705-5060

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Oct 2, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 2, 2023 Accepting new patients

Locations

2833 Babcock Rd
Ste 203
San Antonio, TX 78229
Phone (210) 267-1709

11212 State Highway 151
Ste 230
San Antonio, TX 78251
Phone (210) 265-1924

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: aelizondo339801@christushealth.direct-ci.net

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 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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1154825016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 TX 151",
            "address_2": "PLAZA 1, SUITE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-703-8556",
            "fax_number": "210-703-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 TX 151 PLAZA 1 STE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-703-8556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St # MS -01712",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2833 Babcock Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294894",
            "country_code": "US",
            "telephone_number": "210-705-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2833 Babcock Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294894",
            "country_code": "US",
            "telephone_number": "210-705-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "ARMANDO",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U6229",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.