Active NPI
Ivan J Elias, MD
- Gastroenterology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME159213
- Practice address
- 125 Baptist Way Ste 4C
Pensacola, FL 32503-2254 - Phone
- (850) 626-9626
- NPI assigned
- Jun 28, 2005
- Last updated
- Sep 19, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME159213 | FL | Primary |
Addresses
Primary practice location
125 Baptist Way Ste 4C
Pensacola, FL 32503-2254
Mailing address
PO Box 732892
Dallas, TX 75373-1149
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209679000 | Medicaid | MO | |
| 100321540A | Medicaid | KS | |
| 110126494 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Creighton University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13900 Belinder St
Leawood, KS 66224-3935
9825 Jordan Gateway
South Jordan, UT 84095
PO Box
Suite 95590
South Jordan, UT 84095
PO Box
Suite 95590
South Jordan, UT 84095-0590
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.01 of 100
- Quality
- 62.34
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 67 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME159213 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cass Regional Medical Center | Current | Accepting new patients | |
| Cass Regional Medical Center | Current | Accepting new patients |
Locations
2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
2330 E Meyer Blvd
Ste 301
Kansas City, MO 64132
Phone (816) 333-5424
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Harrisonville, MO
- NPI 1477535326
-
dba Pleasant Hill Medical Center
- Rural Health Clinic/Center
- Pleasant Hill, MO
- NPI 1538159058
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
dba Gulf Breeze Hospital
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1255337879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732892",
"city": "DALLAS",
"state": "TX",
"postal_code": "753731149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BAPTIST WAY STE 4C",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032254",
"telephone_number": "850-626-9626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIAS",
"first_name": "IVAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME159213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209679000",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100321540A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110126494",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.