Organization Active NPI

Reuben J. Elovitz, M.D., PLLC

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1609337054
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Dr. Reuben J Elovitz, MDNPI 1972515377
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2172322Private Health Dallas6119 Berkshire LN, Dallas, TX 75225Certificate of waiverAug 12, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.