Ellis Gerard Main, D.O.
Individual provider Active NPI Family Medicine Physician · Robstown, TX
NPI 1366440919 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1366440919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- J2176 (TX)
- Practice address
- 327 W Avenue J
Robstown, TX 78380-2207 - Phone
- (361) 387-9233
- Fax
- (361) 387-8992
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Owned or controlled facilities with NPI records 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Robstown Family Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Director (100%) |
Jun 1, 2003 Jun 1, 2003 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051122000309 | TX | Practitioner - Family Practice | 1658281639 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Solutions PA | Rural Health | Current | Accepting new patients |
| Rural Health Solutions PA | Rural Health | Current |
Accepting new patients |
| Coastal Family Medicine Associates, PA | Family Medicine | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | J2176 | TX | |
| Family Medicine Physician | 207Q00000X | J2176 | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137311011 | Medicaid | TX |
Other providers in Robstown, TX
- La Mansion Adult Day Care Center, Inc.
- Kelly Nicole Lamb
- Lonestar Legacy Contracting LLC
- Vivian Castaneda Lopez
- M. Gorbet LLC
- John Albert Mata
- Katie McClendon
- Dylan Blue Medley
- Esmeralda Montalvo
- Nueces County Community Services
All providers in Robstown, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.