Active NPI
Reuben J. Elovitz, M.D., PLLC
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- REUBEN J. ELOVITZ, M.D., PLLC
- Practice address
- 6119 Berkshire LN
Dallas, TX 75225-5502 - Phone
- (214) 865-6991
- Fax
- (214) 865-6910
- NPI assigned
- Mar 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reuben J Elovitz, MD
- Title
- Ceo/Owner
- Phone
- (214) 501-5395
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6119 Berkshire LN
Dallas, TX 75225-5502
Mailing address
6119 Berkshire LN
Dallas, TX 75225-5502
Phone (214) 865-6991
Other names 1
- Private Health Dallas
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2172322 | Private Health Dallas | Certificate of waiver | Aug 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
6119 Berkshire Ln
Dallas, TX 75225
Phone (214) 740-6086
Practitioners & affiliated clinicians
Practitioners 1
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": "1553731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553731200000",
"number": "1609337054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6119 BERKSHIRE LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752255502",
"telephone_number": "214-865-6991",
"fax_number": "214-865-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6119 BERKSHIRE LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752255502",
"telephone_number": "214-865-6991",
"fax_number": "214-865-6910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REUBEN J. ELOVITZ, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A",
"authorized_official_last_name": "ELOVITZ",
"authorized_official_first_name": "REUBEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "214-501-5395",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Private Health Dallas",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.