Individual provider Active NPI

Elissa Foster, DO

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1356803530
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
U9522 Issued in TX
Practice address
1250 8TH Ave Ste 135
Fort Worth, TX 76104-4156
Phone
(214) 358-2300
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X U9522 TX Primary

Addresses

Primary practice location

1250 8TH Ave Ste 135
Fort Worth, TX 76104-4156

Mailing address

1505 Lyndon B Johnson Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other practice location 1

6844 Harris Pkwy Ste 200
Fort Worth, TX 76132-4281
Phone (817) 921-2153

Other identifiers 1

IdentifierTypeStateIssuer
U9522OtherTXMEDICAL LICENCE

Other names 1

  • Elissa Janelle Peckham Foster Former name

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
I20240706000102 TX Practitioner - Nephrology 0446639272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of North Texas HSC, College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

1250 8TH Ave
Suite 135
Fort Worth, TX 76104-4156
Phone (214) 358-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U9522TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates Nephrology CurrentSince Aug 1, 2024 Accepting new patients
Dallas Nephrology Associates CurrentSince Aug 1, 2024 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

1250 8th Ave
Ste 135
Fort Worth, TX 76104
Phone (817) 332-8848

6844 Harris Pkwy
Ste 200
Fort Worth, TX 76132
Phone (817) 413-1030

1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153

4510 Medical Center Dr
Ste 305B
McKinney, TX 75069

1105 Santa Fe Dr
Ste 106
Weatherford, TX 76086
Phone (817) 923-8050

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: efoster58212@direct.acumenmd.com

Organizations & group practices 2

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 4

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1356803530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LYNDON B JOHNSON FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 135",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044156",
            "telephone_number": "214-358-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6844 Harris Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761324281",
            "country_code": "US",
            "telephone_number": "817-921-2153",
            "fax_number": "817-484-6858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ELISSA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "U9522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "U9522",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "PECKHAM FOSTER",
            "middle_name": "JANELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.