Organization Active NPI

Elite Iom PLLC

  • Neurology Physician
  • Dallas, TX
National Provider Identifier
1538519012
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ELITE IOM PLLC
Practice address
5550 LBJ Fwy Ste 150
Dallas, TX 75240-2303
Phone
(972) 636-5727
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Haroon Rasheed, MDNPI 1285639096
Title
Owner
Phone
(972) 497-2293

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

5550 LBJ Fwy Ste 150
Dallas, TX 75240-2303

Mailing address

5520 LBJ Fwy
100
Dallas, TX 75240-6246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260223003000 TX Part B Supplier - Clinic/Group Practice 6103307699 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, 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.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1538519012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 LBJ FWY",
            "address_2": "100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 LBJ FWY STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752402303",
            "telephone_number": "972-636-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE IOM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "RASHEED",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-497-2293",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.