Active NPI
Ewa Elenberg, MD
- Pediatric Nephrology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- K2455
- Practice address
- 6701 Fannin St
Houston, TX 77030-2316 - Phone
- (832) 824-3800
- Fax
- (832) 825-3889
- NPI assigned
- Oct 17, 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 |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | K2455 | TX | Primary |
Addresses
Primary practice location
6701 Fannin St
Houston, TX 77030-2316
Mailing address
6701 Fannin St
Houston, TX 77030-2316
Phone (832) 824-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119035704 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6701 Fannin St
Houston, TX 77030-2608
Phone (832) 824-1000
Hospital & facility affiliations
- Texas Childrens Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K2455 | TX | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| South Texas Medical Clinics, P.a. | Past | Accepting new patients | |
| South Texas Medical Clinics, P.a. | Past | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
6701 Fannin St
Fl 11
Houston, TX 77030
Phone (832) 822-3540
2 Greenway Plz
Ste 300
Houston, TX 77046
Phone (832) 828-3603
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
2 Greenway Plz
Houston, TX 77046
Phone (713) 798-1700
1102 Bates Ave
Houston, TX 77030
Phone (832) 822-4556
Interoperability endpoints
- eelenberg5799@prddirect.texaschildrens.org
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Internal Medicine Physician
- Houston, TX
- NPI 1164463287
-
- General Practice Physician
- East Bernard, TX
- NPI 1114077427
-
- General Practice Physician
- Wharton, TX
- NPI 1770688905
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Houston, TX
- NPI 1477643690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1255411591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302316",
"telephone_number": "832-824-3800",
"fax_number": "832-825-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302316",
"telephone_number": "832-824-3800",
"fax_number": "832-825-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELENBERG",
"first_name": "EWA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "TX",
"license": "K2455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119035704",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.