Active NPI
Justin Jeffrey Elhoff, M.D.
- Pediatric Critical Care Medicine Physician
- Houston, TX
National Provider Identifier
1720216211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 22312
- Practice address
- 6621 Fannin St
Suite 6006
Houston, TX 77030-2358 - Phone
- (832) 824-1000
- NPI assigned
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 31975 | SC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 22312 | NV | Primary |
| Pediatrics Physician | 208000000X | Q8714 | TX | |
| Pediatrics Physician | 208000000X | LL31975 | SC |
Addresses
Primary practice location
6621 Fannin St
Suite 6006
Houston, TX 77030-2358
Mailing address
3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-6461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220817002179 | NV | Order and Referring Only - Pediatric Medicine | 1456586668 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL31975 | SC | MD | Pediatrics Physician |
| Q8714 | TX | MD | Pediatrics Physician |
| 31975 | SC | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1720216211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3186 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092317",
"telephone_number": "702-961-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"address_2": "SUITE 6006",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302358",
"telephone_number": "832-824-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELHOFF",
"first_name": "JUSTIN",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "SC",
"license": "31975",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NV",
"license": "22312",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q8714",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL31975",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.