Individual provider Active NPI

Nordeli Estronza, MD

  • Neurology Physician
  • Pflugerville, TX
National Provider Identifier
1750333167
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P8466 Issued in TX
Practice address
2600 E Pflugerville Pkwy Ste 200
Pflugerville, TX 78660-5999
Phone
(512) 654-6500
Fax
(512) 654-6501
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME81319 FL
Neurology Physician 2084N0400X 31785 NE
Neurology Physician 2084N0400X 4301119315 MI
Neurology Physician 2084N0400X 0101225485 VA
Neurology Physician 2084N0400X P8466 TX Primary

Addresses

Primary practice location

2600 E Pflugerville Pkwy Ste 200
Pflugerville, TX 78660-5999

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

9110 College Pointe Ct
Fort Myers, FL 33919-3244
Phone (239) 208-2212

Other practice location 2

711 W 38th St Ste E1
Austin, TX 78705
Phone (512) 477-5337

Other names 1

  • Nordeli Estronza Cappas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180830000680 TX Practitioner - Neurology 1355352766
I20191003002734 MI Practitioner - Neurology 1355352766 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81319FLMDNeurology Physician
31785NEMDNeurology Physician
P8466TXMDNeurology Physician
0101225485VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices CurrentSince Aug 25, 2019 Accepting new patients
Lakeland Medical Practices CurrentSince Aug 25, 2019 Accepting new patients
Neuralwatch Texas PLLC PastSince Oct 1, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1750333167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E PFLUGERVILLE PKWY STE 200",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605999",
            "telephone_number": "512-654-6500",
            "fax_number": "512-654-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9110 College Pointe Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193244",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 W 38th St Ste E1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78705",
            "country_code": "US",
            "telephone_number": "512-477-5337",
            "fax_number": "512-682-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRONZA",
        "first_name": "NORDELI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME81319",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "31785",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301119315",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101225485",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P8466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORDELI",
            "last_name": "ESTRONZA CAPPAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.