Organization Active NPI

Medicus Health Clinics PLLC

  • Internal Medicine Physician
  • Garland, TX
National Provider Identifier
1295586758
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICUS HEALTH CLINICS PLLC
Practice address
333 N Shiloh Rd Unit 107
Garland, TX 75042
Phone
(945) 260-3205
Fax
(945) 260-3210
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Samuel Eleanya, MDNPI 1730575200
Title
Ceo
Phone
(945) 260-3205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

333 N Shiloh Rd Unit 107
Garland, TX 75042

Mailing address

333 N Shiloh Rd Unit 107
Garland, TX 75042
Phone (945) 260-3205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240825000063 TX Part B Supplier - Clinic/Group Practice 3072052885 Receives reassigned benefits from 2 practitioners
Practice locations: Garland, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2321300Medicus Health Clinics PLLC333 N Shiloh Road Suite 107, Garland, TX 75042Certificate of waiverApr 1, 2027

National Provider Directory

National Provider Directory

Locations

333 N Shiloh Rd
Unit 107
Garland, TX 75042
Phone (945) 260-3205

333 N Shiloh Rd
Ste 107
Garland, TX 75042
Phone (945) 260-3205

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1295586758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SHILOH RD UNIT 107",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "945-260-3205",
            "fax_number": "945-260-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SHILOH RD UNIT 107",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "945-260-3205",
            "fax_number": "945-260-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS HEALTH CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "ELEANYA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "945-260-3205",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.

Verify at the official NPI Registry.