Individual provider Active NPI

Mary Edith Anne Elhardt, M.D.

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1306232244
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R0224 Issued in TX
Practice address
1400 S Coulter St
Amarillo, TX 79106-1786
Phone
(806) 414-9743
NPI assigned
Apr 7, 2015
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X R0224 TX
Family Medicine Physician 207Q00000X R0224 TX Primary

Addresses

Primary practice location

1400 S Coulter St
Amarillo, TX 79106-1786

Mailing address

1400 S Coulter St
Amarillo, TX 79106-1786
Phone (806) 414-9743

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
I20170609000701 TX Practitioner - Family PracticePractitioner - Emergency Medicine 8628375375 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians

Practice addresses (Care Compare)

1501 S Coulter St
NW TX Healthcare Sys
Amarillo, TX 79106-1770
Phone (561) 203-0611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0224TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Apr 24, 2017 Accepting new patients
Nes Southwest Medical Services Inc Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Apr 24, 2017 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Dec 30, 2024 Accepting new patients
Em Alliance Texas, PLLC Emergency Medicine CurrentSince Nov 12, 2024 Accepting new patients
Northwest Texas Healthcare System Inc Past Accepting new patients

Locations

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

8960 Hillside Rd
#N
Amarillo, TX 79119
Phone (806) 351-6987

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1306232244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-414-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-414-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHARDT",
        "first_name": "MARY",
        "middle_name": "EDITH ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R0224",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.