Elegy Leon Etter II, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G3336 Issued in TX

Practice address

1315 St Joseph Pkwy
Suite 1708
Houston, TX 77002-8233

Phone

(713) 772-1200

Fax

(713) 759-0786

NPI assigned

May 15, 2006

Last updated

Jun 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

General Surgery

Education

University of Texas Medical Branch at Galveston, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Surgical Associates LLPGroup PAC ID 3072553734, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Medical Center Hospital, Houston, TX, CCN 450035

Merit-based Incentive Payment System (MIPS)

Final score

90.12 of 100Reported as group

Quality

85

Promoting interoperability

98

Improvement activities

40

Cost

83.75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elegy.etter.1@1072.direct.athenahealth.com
• Direct secure messaging: elegy.etter@sws.eclinicaldirectplus.com

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.

• Southwest Surgical Associates LLP

  • Specialist
  • Houston, TX
  • NPI 1477624757
  Medicare reassignment Care Compare group NPD
• E. Leon Etter II MD PA

  • Surgery Physician
  • Houston, TX
  • NPI 1073707394
  Authorized official Same address or phone
• Swsa VBC PLLC

  • Surgery Physician
  • Houston, TX
  • NPI 1760175483
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hsa St. Joseph, LLC

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1639992514
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1457302390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 MURPHY RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774903",
            "telephone_number": "713-772-1200",
            "fax_number": "713-759-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 1708",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-772-1200",
            "fax_number": "713-759-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "ELEGY",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G3336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122872807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Etta and Carrie, LLC
• Etta Counseling & Wellness, PLLC
• Mary Etta
• Ida Ettehadieh, DMD
• Danielle Marie Etter, M.S., LPC
• Jordan Etters, DACM
• Nicole Omotunde Etti, PHARM.D
• Andrew Etuk, LCSW
• Confidence Leonard Etuk
• Crystal Donshell Etuk

• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.