Active NPI
Ekatarina Goukasova Elliott, D.O.
- Surgery Physician
- Houston, TX
National Provider Identifier
1447697479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101020478
- Practice address
- 6411 Fannin St
Houston, TX 77030 - Phone
- (888) 488-3627
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R5256 | TX | |
| Surgery Physician | 208600000X | 5101020478 | MI | Primary |
Addresses
Primary practice location
6411 Fannin St
Houston, TX 77030
Mailing address
1612 Lamonte LN
Houston, TX 77018-4102
Phone (772) 332-7217
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Nova Southeastern Univ College of Dental Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6700 W Loop S
500 Bellaire Surgery Clinic
Bellaire, TX 77401-4104
Phone (713) 892-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Surgery | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
Organizations & group practices 2
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.
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1447697479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 LAMONTE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770184102",
"telephone_number": "772-332-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "888-488-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "EKATARINA",
"middle_name": "GOUKASOVA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "R5256",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101020478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.