Individual provider Active NPI

Ellis Gerard Main, D.O.

  • Family Medicine Physician
  • Robstown, TX
National Provider Identifier
1366440919
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2176 Issued in TX
Practice address
327 W Avenue J
Robstown, TX 78380-2207
Phone
(361) 387-9233
Fax
(361) 387-8992
NPI assigned
Jul 8, 2005
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X J2176 TX
Family Medicine Physician 207Q00000X J2176 TX Primary

Addresses

Primary practice location

327 W Avenue J
Robstown, TX 78380-2207

Mailing address

PO Box 10426
Corpus Christi, TX 78460-0426
Phone (361) 387-9233

Other practice location 1

3022 McKinzie Rd
Corpus Christi, TX 78410-2628
Phone (361) 241-6700

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
I20051122000309 TX Practitioner - Family Practice 1658281639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
J2176TXMDRural Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Solutions PA Rural Health CurrentSince Jun 1, 2003 Accepting new patients
Rural Health Solutions PA Rural Health Current Accepting new patients
Coastal Family Medicine Associates, PA Family Medicine PastSince Jun 1, 2003 Accepting new patients

Locations

327 W Avenue J
Robstown, TX 78380
Phone (361) 387-9233

119 N Odem St
Sinton, TX 78387
Phone (361) 364-3988

1210 Gregory St
Ste 2
Taft, TX 78390
Phone (361) 528-2595

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Robstown Family ClinicRobstown, TX, CCN 673857 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Director (100%)
Jun 1, 2003
Jun 1, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1366440919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10426",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784600426",
            "telephone_number": "361-387-9233",
            "fax_number": "361-387-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W AVENUE J",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783802207",
            "telephone_number": "361-387-9233",
            "fax_number": "361-387-8992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3022 McKinzie Rd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784102628",
            "country_code": "US",
            "telephone_number": "361-241-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIN",
        "first_name": "ELLIS",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "J2176",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robstown, TX

Sources for this page

Verify at the official NPI Registry.