Individual provider Active NPI

Ricky Lynn McElvain, MD

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1336231877
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H2587 Issued in TX
Practice address
811 W Interstate 20 Unit G22
Arlington, TX 76017-5871
Phone
(817) 807-9060
Fax
(817) 419-4505
NPI assigned
Sep 29, 2006
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H2587 TX Primary

Addresses

Primary practice location

811 W Interstate 20 Unit G22
Arlington, TX 76017-5871

Mailing address

811 W Interstate 20 Unit G22
Arlington, TX 76017-5871
Phone (817) 807-9060

Other identifiers 1

IdentifierTypeStateIssuer
122679706MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1336231877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W INTERSTATE 20 UNIT G22",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175871",
            "telephone_number": "817-807-9060",
            "fax_number": "817-419-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W INTERSTATE 20 UNIT G22",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175871",
            "telephone_number": "817-807-9060",
            "fax_number": "817-419-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELVAIN",
        "first_name": "RICKY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H2587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122679706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.