Individual provider Active NPI

Rachel Joy Ellsworth, M.D

  • Colon & Rectal Surgery Physician
  • Houston, TX
National Provider Identifier
1336393479
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
N1878 Issued in TX
Practice address
18400 Katy Fwy
Suite 560
Houston, TX 77094-1286
Phone
(832) 522-3240
Fax
(281) 578-2404
NPI assigned
Nov 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TMB PIT# TX
Colon & Rectal Surgery Physician 208C00000X N1878 TX Primary

Addresses

Primary practice location

18400 Katy Fwy
Suite 560
Houston, TX 77094-1286

Mailing address

18400 Katy Fwy
Suite 560
Houston, TX 77094-1286
Phone (832) 522-3240

Other identifiers 4

IdentifierTypeStateIssuer
342229702MedicaidTX
342229701MedicaidTX
8GD754OtherTXBCBS
8EQ602OtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RACHEL.ELLSWORTH@hca9.eclinicaldirectplus.com

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
I20141119000668 TX Practitioner - General Surgery 0446472872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

1140 Business Ctr Dr
Suite 490
Houston, TX 77043-2741
Phone (713) 932-1247

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1878TXMDColon & Rectal Surgery Physician
TMB PIT#TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2016 Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2016 Accepting new patients
Specialty Associates of West Houston PLLC CurrentSince Feb 14, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

18400 Katy Fwy
Ste 560
Houston, TX 77094
Phone (832) 522-3240

6560 Fannin St
Ste 1404
Houston, TX 77030
Phone (713) 441-5155

6560 Fannin St
Ste 1150
Houston, TX 77030
Phone (713) 441-1771

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

7900 Fannin St
Ste 1200
Houston, TX 77054
Phone (713) 790-8020

1200 Binz St
Ste 580
Houston, TX 77004
Phone (281) 758-2695

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

21814 Katy Fwy
Ste 200
Katy, TX 77449

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: rellsworth39272@directhoustonmethodist.org
  • Direct secure messaging: rachel.ellsworth@hca9.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1336393479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 KATY FWY",
            "address_2": "SUITE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941286",
            "telephone_number": "832-522-3240",
            "fax_number": "281-578-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 KATY FWY",
            "address_2": "SUITE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941286",
            "telephone_number": "832-522-3240",
            "fax_number": "281-578-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "RACHEL",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "TMB PIT#",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "N1878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342229702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342229701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8GD754",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EQ602",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RACHEL.ELLSWORTH@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "18400 Katy Fwy",
            "address_2": "SUITE 560",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770941286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.