Active NPI
Elizabeth Burnell, MD
- Family Medicine Physician
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K2315
- Practice address
- 507 Denali Pass Ste 604
Cedar Park, TX 78613-7766 - Phone
- (512) 906-0168
- Fax
- (512) 259-2290
- NPI assigned
- Sep 2, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 082123 | GA | |
| Family Medicine Physician | 207Q00000X | 58564 | TN | |
| Family Medicine Physician | 207Q00000X | K2315 | TX | Primary |
| Family Medicine Physician | 207Q00000X | 35.135509 | OH | |
| Family Medicine Physician | 207Q00000X | C1-0013036 | DE |
Addresses
Primary practice location
507 Denali Pass Ste 604
Cedar Park, TX 78613-7766
Mailing address
507 Denali Pass Ste 604
Cedar Park, TX 78613-7766
Phone (512) 259-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200928401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI, MS, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 E 7TH St
Suite 620
Austin, TX 78701-3218
Phone (800) 997-6196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0013036 | DE | MD | Family Medicine Physician |
| 082123 | GA | MD | Family Medicine Physician |
| 35.135509 | OH | MD | Family Medicine Physician |
| 58564 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Family Medicine | Current | Accepting new patients |
| House Call Doctors Texas PLLC | Family Medicine | Past | Accepting new patients |
| Rapidcare Clinic PA | Family Medicine | Past | Accepting new patients |
| Family Medicine Associates of Round Rock, P.a. | Family Medicine | Past | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104
211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411
Interoperability endpoints
- elizabeth.burnell.1@30520.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174931448
CT, MI, MS, TX
-
- Family Medicine Physician
- Round Rock, TX
- NPI 1730181793
-
- Family Medicine Physician
- Austin, TX
- NPI 1992731814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1255325429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 DENALI PASS STE 604",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137766",
"telephone_number": "512-259-2222",
"fax_number": "512-259-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 DENALI PASS STE 604",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137766",
"telephone_number": "512-906-0168",
"fax_number": "512-259-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNELL",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-02",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "082123",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "58564",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K2315",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.135509",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C1-0013036",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200928401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.