Individual provider Active NPI

Eduardo Elizondo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1295783728
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J5754 Issued in TX
Practice address
7307 Creekbluff Dr
Austin, TX 78750-8203
Phone
(512) 614-3300
Fax
(512) 614-3301
NPI assigned
May 5, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J5754 TX Primary

Addresses

Primary practice location

7307 Creekbluff Dr
Austin, TX 78750-8203

Mailing address

7307 Creekbluff Dr
Austin, TX 78750-8203
Phone (512) 614-3300

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
I20040825000809 TX Practitioner - Physical Medicine and Rehabilitation 4486628344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical School at San Antonio, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Keith Harris MD, PLLCGroup PAC ID 5890756761, 4 clinicians

Practice addresses (Care Compare)

10815 RR
2222 BLDG 3B
Austin, TX 78730-1159
Phone (512) 614-3300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. David's Ortho, Neuro and Rehab, PLLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2012 Accepting new patients
David Keith Harris MD, PLLC Physical Medicine & Rehabilitation CurrentSince Oct 19, 2013 Accepting new patients
Spineaustin PA Past Accepting new patients
Sports & Spine Associates, P.a. Past Accepting new patients
Spineaustin PA Physical Medicine & Rehabilitation PastSince Jun 1, 2005 Accepting new patients
Soe Aung, M.D., P.a. PastSince Jan 25, 2011 Accepting new patients

Locations

10815 Ranch Road 2222
Bldg 3B-200
Austin, TX 78730
Phone (512) 614-3300

7307 Creekbluff Dr
Austin, TX 78750
Phone (512) 346-6969

7307 Creekbluff Dr
Ste D2
Austin, TX 78750
Phone (512) 454-1234

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

Interoperability endpoints

  • Direct secure messaging: eduardo.elizondo.1@7984.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1295783728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 CREEKBLUFF DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508203",
            "telephone_number": "512-614-3300",
            "fax_number": "512-614-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 CREEKBLUFF DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508203",
            "telephone_number": "512-614-3300",
            "fax_number": "512-614-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J5754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.