Elaine Phuah, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P1387 Issued in TX

Practice address

800 8TH Ave Ste 506
Fort Worth, TX 76104-2604

Phone

(817) 386-3632

Fax

(817) 386-2679

NPI assigned

Nov 30, 2011

Last updated

Jan 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Leon S Tio MD PAGroup PAC ID 4880929140, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGGHBD/Endpoint/FGGHBD

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.

• Leon S Tio MD PA

  dba Clover Internal Medicine Associates

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1023581006
  Medicare reassignment Care Compare group NPD Authorized official
• Clover Oxygen PLLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Aledo, TX
  • NPI 1073210993
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1366719767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 506",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042604",
            "telephone_number": "817-386-3632",
            "fax_number": "817-386-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 506",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042604",
            "telephone_number": "817-386-3632",
            "fax_number": "817-386-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUAH",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colten Jacob Philpott, MD
• Austin Phimmasone, MD
• Hailey Phipps, BSN, RN
• Constantine Phiripes, MD
• Phoenix Associates Counseling Services, Inc.
• Tra My T Phung, DDS
• Physical Management Professionals LLC
• Physician Assistant Services of Texas L.L.P
• Physician Injury Consultants
• Physician's Hospice LLC (Texas Hospice)

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.