Individual provider Active NPI

Elizabeth Adams, MD

  • Pediatrics Physician
  • Wylie, TX
National Provider Identifier
1407240591
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R6326 Issued in TX
Practice address
501 Woodbridge Pkwy
Wylie, TX 75098-7060
Phone
(972) 442-2300
NPI assigned
Mar 26, 2015
Last updated
May 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Pediatrics Physician 208000000X R6326 TX Primary

Addresses

Primary practice location

501 Woodbridge Pkwy
Wylie, TX 75098-7060

Mailing address

PO Box 125
Wylie, TX 75098-0125

Other practice location 1

1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-2735

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
I20230106000878 TX Practitioner - Pediatric Medicine 5799155891 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6326TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Dec 14, 2022 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Dec 14, 2022 Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients
Pediatric Associates of Wylie, P.a. Pediatrics PastSince May 29, 2022 Accepting new patients
West Plano Pediatrics PA Pediatrics PastSince Mar 1, 2021 Accepting new patients

Locations

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

6020 W Parker Rd
Ste 310
Plano, TX 75093
Phone (972) 608-0774

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

501 Woodbridge Pkwy
Wylie, TX 75098
Phone (972) 442-2300

Interoperability endpoints

  • Direct secure messaging: eadams107361@direct.childrens.com

Organizations & group practices 5

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653177600000",
    "number": "1407240591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WOODBRIDGE PKWY",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987060",
            "telephone_number": "972-442-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Medical District Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357701",
            "country_code": "US",
            "telephone_number": "214-456-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R6326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.