Individual provider Active NPI

Gregory Jay Elders, MD

  • Orthopaedic Surgery Physician
  • Conroe, TX
National Provider Identifier
1669479861
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L8677 Issued in TX
Practice address
508 Medical Center Blvd # 360
Conroe, TX 77304-2953
Phone
(936) 756-2229
Fax
(844) 274-2115
NPI assigned
Jul 1, 2005
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X L8677 TX Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X L8677 TX

Addresses

Primary practice location

508 Medical Center Blvd # 360
Conroe, TX 77304-2953

Mailing address

508 Medical Center Blvd # 360
Conroe, TX 77304-2953
Phone (936) 756-2229

Other practice location 1

500 Medical Center Blvd Ste 218
Conroe, TX 77304-2833
Phone (936) 756-2229

Other practice location 2

10857 Kuykendahl Rd Ste 120
The Woodlands, TX 77382-2937
Phone (832) 403-3116

Other practice location 3

500 Medical Center Blvd Ste 220
Conroe, TX 77304-2800
Phone (832) 403-3116

Other identifiers 2

IdentifierTypeStateIssuer
167432705MedicaidTX
L8677OtherTXLICENSE

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
I20040806000148 TX Practitioner - Orthopedic Surgery 0749252245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

15200 Southwest Fwy
Suite 290
Sugar Land, TX 77478-3866
Phone (281) 980-2010

508 Medical Ctr Blvd
Conroe, TX 77304-2952

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement19
Spinal fusion25
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8677TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Associates of West Houston PLLC CurrentSince Dec 12, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

500 Medical Center Blvd
Ste 218
Conroe, TX 77304
Phone (936) 441-5550

508 Medical Center Blvd
Ste 360
Conroe, TX 77304
Phone (281) 836-9020

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

Interoperability endpoints

  • Direct secure messaging: gregory.elders.1@16869.direct.athenahealth.com
  • Direct secure messaging: gregory.elders@hca9.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1669479861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD # 360",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042953",
            "telephone_number": "936-756-2229",
            "fax_number": "844-274-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD # 360",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042953",
            "telephone_number": "936-756-2229",
            "fax_number": "844-274-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Medical Center Blvd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042833",
            "country_code": "US",
            "telephone_number": "936-756-2229",
            "fax_number": "844-274-2115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10857 Kuykendahl Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773822937",
            "country_code": "US",
            "telephone_number": "832-403-3116",
            "fax_number": "936-231-8746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Medical Center Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042800",
            "country_code": "US",
            "telephone_number": "832-403-3116",
            "fax_number": "936-231-8746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDERS",
        "first_name": "GREGORY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L8677",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "L8677",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167432705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L8677",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.