Ella Hospitalist PA

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

N 3875 Issued in TX

Legal business name

ELLA HOSPITALIST PA

Practice address

2607 Gallion Dr
Sugar Land, TX 77479-1967

Phone

(281) 221-1010

NPI assigned

Sep 5, 2013

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bonnie Van de Water

Title

Account Manager

Phone

(602) 569-4740

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vidya Mathivanan, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1508069659
  Medicare reassignment NPD

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1811322126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 GALLION DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791967",
            "telephone_number": "281-221-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 GALLION DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791967",
            "telephone_number": "281-221-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16655 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792329",
            "country_code": "US",
            "telephone_number": "281-221-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELLA HOSPITALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "VAN DE WATER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "602-569-4740"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "N 3875",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811322126",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Golden Years Inc
• Elite Hospital Management LLC (Surgeons' Premier Medical Center)
• Elite Psychiatry Center PLLC
• Eliza Healthcare
• Bahia Elkamand, NP
• Kelsey Ellenberg, RD
• Bruce A Ellington
• Bethany Elliott
• Paul W Elliott, RPH
• B Keith Ellis, M. D.

• General Acute Care Hospital in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.