Individual provider Active NPI

Sandra N McElroy, M.D.

  • Psychiatry Physician
  • League City, TX
National Provider Identifier
1376601328
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H1393 Issued in TX
Practice address
620 West Main Street
Suite 102
League City, TX 77573-3769
Phone
(281) 332-4673
Fax
(281) 332-5487
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H1393 TX Primary

Addresses

Primary practice location

620 West Main Street
Suite 102
League City, TX 77573-3769

Mailing address

620 West Main Street
Suite 102
League City, TX 77573-3769
Phone (281) 332-4673

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
I20070209000448 TX Practitioner - Psychiatry 9335141977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Gulf Coast CenterGroup PAC ID 6204821895, 21 clinicians

Practice addresses (Care Compare)

4444 W Main St
League City, TX 77573-1737
Phone (409) 763-2373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H1393TXMDPsychiatry Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1376601328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WEST MAIN STREET",
            "address_2": "SUITE 102",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733769",
            "telephone_number": "281-332-4673",
            "fax_number": "281-332-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WEST MAIN STREET",
            "address_2": "SUITE 102",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733769",
            "telephone_number": "281-332-4673",
            "fax_number": "281-332-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "SANDRA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H1393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.