Active NPI
Elizabeth Suarez, M.D.
- Family Medicine Physician
- Bryan, TX
National Provider Identifier
1194740605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L9919
- Practice address
- 3201 University Dr E Ste 425
Bryan, TX 77802-3479 - Phone
- (979) 690-4828
- Fax
- (979) 690-4829
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L9919 | TX | Primary |
Addresses
Primary practice location
3201 University Dr E Ste 425
Bryan, TX 77802-3479
Mailing address
3201 University Dr E Ste 425
Bryan, TX 77802-3479
Phone (979) 690-4828
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169010901 | Medicaid | TX | |
| P00471011 | Other | TX | MEDICARE RAILROAD |
| 8B7581 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
Other names 1
- Elizabeth Suarez-Cedeno
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041016000139 | TX | Practitioner - Family Practice | 8820058589 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan a. Friedman, M.D., PLLC | Past | Accepting new patients | |
| CC HMS TX, PLLC | Past | Accepting new patients |
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.
-
- Hospitalist Physician
- College Station, TX
- NPI 1659851293
-
- Physician Assistant
- Bryan, TX
- NPI 1629127212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1194740605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E STE 425",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023479",
"telephone_number": "979-690-4828",
"fax_number": "979-690-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E STE 425",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023479",
"telephone_number": "979-690-4828",
"fax_number": "979-690-4829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L9919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169010901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00471011",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "8B7581",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SUAREZ-CEDENO",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.