Active NPI
Elevate Community Health
- Federally Qualified Health Center (FQHC)
- Tomball, TX
National Provider Identifier
1285409417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ELEVATE COMMUNITY HEALTH
- Practice address
- 24721 Tomball Parkway Suite 160
Tomball, TX 77375 - Phone
- (281) 540-0063
- NPI assigned
- Nov 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Tarasenko
- Title
- Strategic Development Director
- Phone
- (281) 540-0063
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
24721 Tomball Parkway Suite 160
Tomball, TX 77375
Mailing address
24721 Tomball Parkway Suite 160
Tomball, TX 77375
Phone (281) 540-0063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2298811 | Elevate Community Health | Certificate of waiver | Feb 7, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Cypress, TX
- NPI 1669416780
-
- Family Medicine Physician
- Spring, TX
- NPI 1588688576
-
- Psychiatric/Mental Health Nurse Practitioner
- Spring, TX
- NPI 1285249540
-
- Internal Medicine Physician
- Huntsville, TX
- NPI 1942735618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1285409417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24721 TOMBALL PARKWAY SUITE 160",
"city": "TOMBALL",
"state": "TX",
"postal_code": "77375",
"telephone_number": "281-540-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24721 TOMBALL PARKWAY SUITE 160",
"city": "TOMBALL",
"state": "TX",
"postal_code": "77375",
"telephone_number": "281-540-0063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATE COMMUNITY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-17",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "TARASENKO",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "STRATEGIC DEVELOPMENT DIRECTOR",
"authorized_official_telephone_number": "281-540-0063"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.