Individual provider Active NPI

Elizabeth A Hooper, M.D.

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1255587598
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
S5657 Issued in TX
Practice address
1411 N Beckley Ave Ste 454
Dallas, TX 75203-1262
Phone
(469) 620-0222
Fax
(469) 620-0223
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 250774 MA
Surgery Physician 208600000X 29998 OK
Surgery Physician 208600000X S5657 TX Primary

Addresses

Primary practice location

1411 N Beckley Ave Ste 454
Dallas, TX 75203-1262

Mailing address

1411 N Beckley Ave Ste 454
Dallas, TX 75203-1262
Phone (469) 620-0222

Other practice location 1

1900 Matlock Rd Ste 304
Mansfield, TX 76063-4435
Phone (817) 952-8221

Other practice location 2

4709 W Parker Rd Ste 430
Plano, TX 75093-3369
Phone (972) 767-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130927000087 OK Practitioner - General Surgery 7315194065 Reassigns benefits to 1 organization
I20201001000500 TX Practitioner - General Surgery 7315194065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Divali Docs, PLLCGroup PAC ID 0840571857, 4 clinicians

Practice addresses (Care Compare)

1411 N Beckley Ave
Dallas, TX 75203-1262
Phone (469) 620-0222

1900 Matlock Rd
Suite 304
Mansfield, TX 76063-4435
Phone (469) 620-0222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S5657TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 15, 2013 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4140 W Memorial Rd
Ste 621
Oklahoma City, OK 73120
Phone (405) 749-4224

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJHGAD/Endpoint/EJHGAD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1255587598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031262",
            "telephone_number": "469-620-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031262",
            "telephone_number": "469-620-0222",
            "fax_number": "469-620-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Matlock Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760634435",
            "country_code": "US",
            "telephone_number": "817-952-8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4709 W Parker Rd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750933369",
            "country_code": "US",
            "telephone_number": "972-767-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "250774",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "29998",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "S5657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.