Individual provider Active NPI

Elizabeth Ann Bailey, M.D.

  • Obstetrics & Gynecology Physician
  • Richmond, TX
National Provider Identifier
1295962330
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P6135 Issued in TX
Practice address
5510 W Grand Pkwy S Ste B
Richmond, TX 77406-5879
Phone
(281) 232-1640
Fax
(281) 232-1639
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P6135 TX Primary

Addresses

Primary practice location

5510 W Grand Pkwy S Ste B
Richmond, TX 77406-5879

Mailing address

5510 W Grand Pkwy S Ste B
Richmond, TX 77406-5879
Phone (281) 232-1640

Other practice location 1

12121 Richmond Ave
Suite 203
Houston, TX 77082-2432
Phone (281) 558-5855

Other identifiers 2

IdentifierTypeStateIssuer
BP1-0033834OtherTXPHYSICIAN IN TRAINING PERMIT
P6135OtherTXTEXAS MEDICAL LICENSE

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
I20131106000216 TX Practitioner - Obstetrics/Gynecology 8729213426 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6135TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Obstetrics & Gynecology CurrentSince Jun 30, 2024 Accepting new patients
Ut Physicians CurrentSince Jun 30, 2024 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

6410 Fannin St
Ste 350
Houston, TX 77030
Phone (832) 325-7200

12121 Richmond Ave
Ste 100
Houston, TX 77082
Phone (281) 493-9966

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
#135
Houston, TX 77030

12121 Richmond Ave
Ste 203
Houston, TX 77082
Phone (281) 558-5855

12121 Richmond Ave
Ste 416
Houston, TX 77082
Phone (409) 281-9744

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

1111 Highway 6
Ste 200
Sugar Land, TX 77478
Phone (281) 491-0500

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.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295962330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 W GRAND PKWY S STE B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065879",
            "telephone_number": "281-232-1640",
            "fax_number": "281-232-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 W GRAND PKWY S STE B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065879",
            "telephone_number": "281-232-1640",
            "fax_number": "281-232-1639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12121 Richmond Ave",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770822432",
            "country_code": "US",
            "telephone_number": "281-558-5855",
            "fax_number": "281-558-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P6135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN IN TRAINING PERMIT",
            "identifier": "BP1-0033834",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "P6135",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.