Eliahkim Mazo Mabute, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1232439 Issued in TX

Practice address

4645 Sweetwater Blvd Ste 200
Sugar Land, TX 77479-3016

Phone

(281) 565-1112

Fax

(281) 565-1102

NPI assigned

Oct 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1548081474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9779 FANNIN RAIL WAY APT 1115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770452254",
            "telephone_number": "409-291-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 SWEETWATER BLVD STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793016",
            "telephone_number": "281-565-1112",
            "fax_number": "281-565-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9779 Fannin Railway",
            "address_2": "Apt 1115",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770452256",
            "country_code": "US",
            "telephone_number": "409-291-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABUTE",
        "first_name": "ELIAHKIM",
        "middle_name": "MAZO",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "977911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1232439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Henry Maaskant, DDS
• Mabel Livinghome, Inc.
• David Alan Macha, PTA
• Julie Ann Machac, BSN, RN
• Raul Machado, LSA
• Macy'S Health Services, Inc
• Debbie M Madden, MS, RD, LD, CDE, CPT

• Family Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.