Individual provider Active NPI

Katherine Hall Jelliffe, MD

  • Maternal & Fetal Medicine Physician
  • Abilene, TX
National Provider Identifier
1265799555
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
Q0268 Issued in TX
Practice address
1933 Pine St Ste a
Abilene, TX 79601-2431
Phone
(325) 692-0626
Fax
(325) 692-0638
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X Q0268 TX Primary

Addresses

Primary practice location

1933 Pine St Ste a
Abilene, TX 79601-2431

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483

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
I20161212000828 TX Practitioner - Obstetrics/Gynecology 2365722246 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Obstetrix Medical Group of Texas Billing, Inc.Group PAC ID 2365342938, 24 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone 80024338397746

800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone 80024338397746

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children'S Physician Network CurrentSince Aug 1, 2021 Accepting new patients
Obstetrix Medical Group of Texas Billing, Inc. Maternal & Fetal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Cook Children'S Physician Network CurrentSince Aug 1, 2021 Accepting new patients
Physician Associates of Southwest Dallas Maternal & Fetal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Utmb Faculty Group Practice CurrentSince Aug 26, 2016 Accepting new patients
Maternal-Fetal Healthcare, P.a. Maternal & Fetal Medicine PastSince Aug 1, 2019 Accepting new patients
Texas Health Harris Methodist Hospital Fort Worth Past Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Past Accepting new patients

Locations (25 of 31)

1933 Pine St
Ste A
Abilene, TX 79601
Phone (325) 674-9494

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1001 N Waldrop Dr
Ste 505
Arlington, TX 76012
Phone (817) 277-9415

5005 S Cooper St
Ste 275
Arlington, TX 76017
Phone (817) 277-9415

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste C742
Dallas, TX 75230
Phone (214) 824-9600

7777 Forest Ln
Ste D1190
Dallas, TX 75230
Phone (972) 816-7363

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555

3500 Gaston Ave
Dallas, TX 75246

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1250 8th Ave
Ste 225
Fort Worth, TX 76104
Phone (817) 922-9237

10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000

6100 Harris Pkwy
Ste 295
Fort Worth, TX 76132
Phone (817) 878-5298

1280 8th Ave
Ste 245
Fort Worth, TX 76104
Phone (817) 926-4118

10840 Texas Health Trl
Ste 210
Fort Worth, TX 76244
Phone (817) 540-1157

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1901 N State Highway 360
Ste 102
Grand Prairie, TX 75050
Phone (972) 647-0994

5757 Woodway Dr
Ste 275
Houston, TX 77057
Phone (713) 791-9100

Interoperability endpoints

  • Direct secure messaging: kjelliffe1836647@direct.texashealth.org
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
  • Direct secure messaging: katherine.jelliffemd.p4@direct.mednax.nextgenshare.com

Organizations & group practices 8

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1265799555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 PINE ST STE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012431",
            "telephone_number": "325-692-0626",
            "fax_number": "325-692-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLIFFE",
        "first_name": "KATHERINE",
        "middle_name": "HALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "Q0268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.