Individual provider Active NPI

Elizabeth M Race, MD

  • Infectious Disease Physician
  • Dallas, TX
National Provider Identifier
1568424596
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
K7085 Issued in TX
Practice address
7777 Forest LN
Suite B-122
Dallas, TX 75230-2571
Phone
(972) 383-1060
Fax
(972) 383-1061
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X K7085 TX Primary

Addresses

Primary practice location

7777 Forest LN
Suite B-122
Dallas, TX 75230-2571

Mailing address

8390 Champions Gate Blvd
Suite 215
Champions Gate, FL 33896-8310
Phone (407) 390-1677

Other identifiers 1

IdentifierTypeStateIssuer
044901901MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000614 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 1557510989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
University of Texas Medical Branch at Galveston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Healthcare Foundation Texas, Inc.Group PAC ID 5991940520, 19 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite B122
Dallas, TX 75230-6806
Phone (972) 383-1060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36219TXMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Arms, Inc. Infectious Disease CurrentSince May 2, 2022 Accepting new patients
AIDS Arms, Inc. CurrentSince May 2, 2022 Accepting new patients
AIDS Healthcare Foundation Texas Inc Infectious Disease CurrentSince May 1, 2013 Accepting new patients
AIDS Healthcare Foundation Texas Inc Past Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

7777 Forest Ln
Ste B122
Dallas, TX 75230
Phone (972) 383-1060

3900 Junius St
Ste 300
Dallas, TX 75246
Phone (214) 521-5191

4004 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 623-6830

219 Sunset Ave
Ste 116A
Dallas, TX 75208
Phone (469) 749-7822

2801 Lemmon Ave
Ste 200
Dallas, TX 75204
Phone (214) 267-8810

400 N Beach St
Ste 104
Ft Worth, TX 76111
Phone (817) 831-1750

7400 Fannin St
Ste 1118
Houston, TX 77054
Phone (713) 797-9200

Interoperability endpoints

  • Direct secure messaging: elizabeth.race.1@26356.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1568424596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD",
            "address_2": "SUITE 215",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968310",
            "telephone_number": "407-390-1677",
            "fax_number": "407-390-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B-122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-383-1060",
            "fax_number": "972-383-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACE",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "K7085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044901901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.