Individual provider Active NPI

Elizabeth Beste Henderson, M.D.

  • Surgery Physician
  • Seguin, TX
National Provider Identifier
1669730123
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q8210 Issued in TX
Practice address
105 Medical
Seguin, TX 78155-5392
Phone
(830) 484-4604
Fax
(830) 372-8905
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10044572 TX
Surgery Physician 208600000X Q8210 TX Primary

Addresses

Primary practice location

105 Medical
Seguin, TX 78155-5392

Mailing address

105 Medical
Seguin, TX 78155-5392
Phone (830) 484-4604

Other identifiers 2

IdentifierTypeStateIssuer
371473501MedicaidTX
BP10044572OtherTXPIT

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
I20170522001434 TX Practitioner - General Surgery 9436426574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe Regional Medical GroupGroup PAC ID 6800077694, 38 clinicians

Practice addresses (Care Compare)

417 S King St
Seguin, TX 78155-5838
Phone (830) 484-4600

Hospital & facility affiliations

  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
68.71
Promoting interoperability
98
Improvement activities
40
Cost
69.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy11
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10044572TXMDSurgery Physician
Q8210TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Regional Medical Group CurrentSince Jul 15, 2017 Accepting new patients
Guadalupe Regional Medical Group CurrentSince Jul 15, 2017 Accepting new patients

Locations

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

417 S King St
Seguin, TX 78155
Phone (830) 484-4600

105 Medical
Seguin, TX 78155
Phone (830) 240-2826

Interoperability endpoints

  • Direct secure messaging: elizabeth.beste.1@27064.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1669730123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MEDICAL",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555392",
            "telephone_number": "830-484-4604",
            "fax_number": "830-372-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEDICAL",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555392",
            "telephone_number": "830-484-4604",
            "fax_number": "830-372-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ELIZABETH",
        "middle_name": "BESTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10044572",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q8210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371473501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIT",
            "identifier": "BP10044572",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.