Organization Active NPI

Elysium Anesthesia PLLC

  • Anesthesiology Physician
  • Allen, TX
National Provider Identifier
1447044318
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ELYSIUM ANESTHESIA PLLC
Practice address
610 S Watters Rd Ste 160
Allen, TX 75013-0176
Phone
(469) 251-8488
Fax
(469) 498-6864
NPI assigned
Apr 7, 2025
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Ifeanyi Nwokeabia, MDNPI 1104207323
Title
Owner
Phone
(215) 859-2638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

610 S Watters Rd Ste 160
Allen, TX 75013-0176

Mailing address

610 S Watters Rd Ste 160
Allen, TX 75013-0176
Phone (469) 251-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250814000912 TX Part B Supplier - Clinic/Group Practice 6608375019 Receives reassigned benefits from 3 practitioners
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1447044318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S WATTERS RD STE 160",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750130176",
            "telephone_number": "469-251-8488",
            "fax_number": "469-498-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S WATTERS RD STE 160",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750130176",
            "telephone_number": "469-251-8488",
            "fax_number": "469-498-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIUM ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "NWOKEABIA",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-859-2638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.