Active NPI
Daisy Elizondo
- Physician Assistant
- McAllen, TX
National Provider Identifier
1740722636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10805
- Practice address
- 3100 Buddy Owens Ave
Suite 101
McAllen, TX 78504-6464 - Phone
- (956) 971-0404
- Fax
- (956) 971-0408
- NPI assigned
- Nov 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10805 | TX | Primary |
Addresses
Primary practice location
3100 Buddy Owens Ave
Suite 101
McAllen, TX 78504-6464
Mailing address
3100 Buddy Owens Ave
Suite 101
McAllen, TX 78504-6464
Phone (956) 971-0404
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Buddy Owens Ave
McAllen, TX 78504-6464
Phone (956) 971-0404
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Dermatology Starr County PLLC | Past | Accepting new patients |
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.
-
dba Dermatology Clinic of McAllen
- Dermatology Physician
- McAllen, TX
- NPI 1619099124
-
dba Dermatology Clinic of Starr County
- Dermatology Physician
- Rio Grande City, TX
- NPI 1093122723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1740722636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 BUDDY OWENS AVE",
"address_2": "SUITE 101",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046464",
"telephone_number": "956-971-0404",
"fax_number": "956-971-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 BUDDY OWENS AVE",
"address_2": "SUITE 101",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046464",
"telephone_number": "956-971-0404",
"fax_number": "956-971-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIZONDO",
"first_name": "DAISY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.