Individual provider Active NPI

Elice Marie Capitulo Hizon, M.D.

  • Pediatrics Physician
  • Baytown, TX
National Provider Identifier
1760128318
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V6952 Issued in TX
Practice address
3509 Garth Rd
Baytown, TX 77521-3854
Phone
(832) 548-5000
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X V6952 TX Primary

Addresses

Primary practice location

3509 Garth Rd
Baytown, TX 77521-3854

Mailing address

3509 Garth Rd
Baytown, TX 77521-3854
Phone (832) 548-5000

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
I20250721001251 TX Practitioner - Pediatric Medicine 7214443928 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V6952TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc Pediatrics CurrentSince Jul 3, 2025 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jul 3, 2025 Accepting new patients

Locations

3509 Garth Rd
Baytown, TX 77521
Phone (832) 548-5215

3430 Center St
Deer Park, TX 77536
Phone (832) 266-7303

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

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.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1760128318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213854",
            "telephone_number": "832-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213854",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIZON",
        "first_name": "ELICE MARIE",
        "middle_name": "CAPITULO",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V6952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.