Individual provider Active NPI

Elizabeth James, MD

  • Emergency Medicine Physician
  • Zachary, LA
National Provider Identifier
1699967679
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
202194 Issued in LA
Practice address
4004 Moss Trail Dr
Zachary, LA 70791-7303
Phone
(601) 807-1048
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 202194 LA Primary

Addresses

Primary practice location

4004 Moss Trail Dr
Zachary, LA 70791-7303

Mailing address

4004 Moss Trail Dr
Zachary, LA 70791-7303
Phone (601) 807-1048

Other identifiers 2

IdentifierTypeStateIssuer
1500445MedicaidLA
P00810366OtherLARRMCARE THRU PEPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160106002416 TX Practitioner - Emergency Medicine 6002968344 Reassigns benefits to 2 organizations
I20211221001736 NY Practitioner - Emergency Medicine 6002968344
I20240314004335 LA Practitioner - Emergency Medicine 6002968344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
60.66 of 100Reported as group
Quality
26.46
Improvement activities
40
Cost
80.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202194LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Medical Services of Ferriday, Inc. Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 15, 2023 Accepting new patients
WH Services Austin LLC CurrentSince Feb 20, 2024 Accepting new patients
Professional Emergency Physician Associates, LLC Emergency Medicine PastSince Jul 25, 2019 Accepting new patients
St. David's Carenow Urgent Care PLLC PastSince Mar 26, 2020 Accepting new patients

Locations

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

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

5656 Bee Caves Rd
West Lake Hills, TX 78746
Phone (512) 314-3800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1699967679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 MOSS TRAIL DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917303",
            "telephone_number": "601-807-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 MOSS TRAIL DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917303",
            "telephone_number": "601-807-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "202194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1500445",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU PEPA",
            "identifier": "P00810366",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.