Individual provider Active NPI

Elizabeth M Yust, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1255534244
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P6118 Issued in TX
Practice address
5282 Medical Dr Ste 310
San Antonio, TX 78229-6044
Phone
(210) 614-8687
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P6118 TX Primary

Addresses

Primary practice location

5282 Medical Dr Ste 310
San Antonio, TX 78229-6044

Mailing address

5282 Medical Dr Ste 310
San Antonio, TX 78229-6044
Phone (210) 614-8687

Other identifiers 6

IdentifierTypeStateIssuer
1255534244OtherALTRICARE SOUTH
511-07521OtherALBCBS
Z10936OtherALVIVA HEALTH
118799MedicaidAL
511-06527OtherALBCBS
119473MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508000895 TX Practitioner - Pediatric Medicine 5597901231 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P6118TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Baylor College of Medicine Pediatrics CurrentSince Jan 24, 2015 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Southwest Childrens Center, PA PastSince Oct 23, 2022 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

5282 Medical Dr
Ste 310
San Antonio, TX 78229
Phone (210) 614-8687

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1255534244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296044",
            "telephone_number": "210-614-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296044",
            "telephone_number": "210-614-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUST",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P6118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1255534244",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-07521",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA HEALTH",
            "identifier": "Z10936",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118799",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-06527",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119473",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.