Individual provider Active NPI

Araceli Elizalde, MD

  • Allergy & Immunology Physician
  • San Antonio, TX
National Provider Identifier
1811174873
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
P3620 Issued in TX
Practice address
21727 Ih 10 W
Ste 104
San Antonio, TX 78257-2108
Phone
(210) 704-4708
NPI assigned
Jan 22, 2008
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X P3620 TX Primary

Addresses

Primary practice location

21727 Ih 10 W
Ste 104
San Antonio, TX 78257-2108

Mailing address

21727 Ih 10 W
Ste 104
San Antonio, TX 78257-2108
Phone (210) 899-6856

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
I20120904000125 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 3476691809 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21727 Ih 10
Suite 104
San Antonio, TX 78257-2108
Phone (210) 899-6856

21727 Ih 10 W
104 Dominion Crossing
San Antonio, TX 78257-2108
Phone (210) 899-6856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma and Immunology Specialists of San Antonio Allergy & Immunology CurrentSince Jul 9, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Jul 6, 2014 Accepting new patients
Immuno, PA Allergy & Immunology CurrentSince May 25, 2023 Accepting new patients
Allergy, Asthma & Immunology Associates of South Texas, P.a. Allergy & Immunology PastSince Aug 27, 1992 Accepting new patients

Locations

21727 Ih 10 W
Ste 104
San Antonio, TX 78257
Phone (210) 899-6856

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

Interoperability endpoints

  • Direct secure messaging: araceli.elizalde.1@19634.direct.athenahealth.com

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1811174873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21727 IH 10 W",
            "address_2": "STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572108",
            "telephone_number": "210-899-6856",
            "fax_number": "210-750-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21727 IH 10 W",
            "address_2": "STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572108",
            "telephone_number": "210-704-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZALDE",
        "first_name": "ARACELI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "P3620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.