Individual provider Active NPI

William Lee Elzi, MD

  • Internal Medicine Physician
  • Canon City, CO
National Provider Identifier
1164500245
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34053 Issued in CO
Practice address
1338 Phay Ave
Canon City, CO 81212-2302
Phone
(720) 938-5022
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Emergency Physicians PA 79 clinicians

Practice addresses (Care Compare)

1338 Phay Ave
Canon City, CO 81212-2311
Phone (719) 285-2326

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (865) 560-8423

Hospital & facility affiliations

  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • St Thomas More Hospital Hospital, Canon City, CO, CCN 061344
  • St Thomas More Hospital Nursing home, CCN 06Z344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110718000706 CO Practitioner - Internal Medicine 8224211263 Reassigns benefits to 1 organization
I20241023002812 MI Practitioner - Internal Medicine 8224211263 Reassigns benefits to 1 organization
I20241122003393 TX Practitioner - Internal Medicine 8224211263 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34053COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Hendrick Medical Center Brownwood Past Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

Interoperability endpoints

  • Direct secure messaging: welzi@yourcarecommunity.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34053 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

1338 Phay Ave
Canon City, CO 81212-2302

Mailing address

405 Collier Ranch Rd
Stephenville, TX 76401-1988
Phone (702) 453-3799

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
01340538MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2021.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1164500245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 COLLIER RANCH RD",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011988",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122302",
            "telephone_number": "720-938-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZI",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "34053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01340538",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.