Ellen S Vandelden, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

N1936 Issued in TX

Practice address

1580 S Main St Ste 201
Boerne, TX 78006-3312

Phone

(210) 692-1245

Fax

(210) 692-9311

NPI assigned

Dec 13, 2007

Last updated

Mar 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Neurology

Education

University of Texas Medical School at San Antonio, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurology Institute of Kerrville PLLCGroup PAC ID 3678937687, 10 clinicians

Suzanne K. Gazda, MD, PLLCGroup PAC ID 0143267161, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurology Institute of Kerrville PLLC

  dba VIVO Infusion Boerne

  • Neurology Physician
  • Kerrville, TX
  • NPI 1467107706
  Medicare reassignment Care Compare group NPD
• Suzanne K. Gazda, MD, PLLC

  • Neurology Physician
  • San Antonio, TX
  • NPI 1710949698
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1619150588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 S MAIN ST STE 201",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063312",
            "telephone_number": "210-692-1245",
            "fax_number": "210-692-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MAIN ST STE 201",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063312",
            "telephone_number": "210-692-1245",
            "fax_number": "210-692-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3603 Paesanos Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782311269",
            "country_code": "US",
            "telephone_number": "210-692-1245",
            "fax_number": "210-692-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDELDEN",
        "first_name": "ELLEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N1936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Valadez, LVN
• Validus Health, PA
• Bonnie Y Valles, LMSW 109421
• Eileen Elisabeth Van Diest, M.D.
• Christine Teresa Van Ramshorst, M.D.
• Katherine Maryann Vandyke, D.C.
• Joe Everett Vandzura, RBT
• Julie Crosby Vargas, PTA
• Megan Vargas, PA-C
• Archana Varma, M.D., PH.D.

• Neurology Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.