Individual provider Active NPI

Ellen Jean Remenchik, MD

  • Internal Medicine Physician
  • Lindale, TX
National Provider Identifier
1821089095
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196118 Issued in CA
Practice address
103 Cannery Row
Lindale, TX 75771
Phone
(903) 882-3194
Fax
(903) 882-7405
NPI assigned
Nov 4, 2005
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G8366 TX
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 35447 AZ
Occupational Medicine Physician 2083X0100X G8366 TX
Internal Medicine Physician 207R00000X 196118 CA Primary

Addresses

Primary practice location

103 Cannery Row
Lindale, TX 75771

Mailing address

103 Cannery Row
Lindale, TX 75771
Phone (903) 882-3194

Other identifiers 3

IdentifierTypeStateIssuer
138384615MedicaidTX
P00456696OtherTXRR MEDICARE
138384621MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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
I20080201000114 TX Practitioner - Internal MedicinePractitioner - Preventive Medicine 5496768483 Reassigns benefits to 5 organizations
I20240923004056 CA Practitioner - Internal Medicine 5496768483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phynet, Inc.Group PAC ID 8527038298, 15 clinicians

Practice addresses (Care Compare)

103 N Main St
Lindale, TX 75771-6417
Phone (903) 882-3194

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196118CAMDInternal Medicine Physician
G8366TXMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Consultants, PLLC CurrentSince Nov 1, 2017 Accepting new patients
TMC Provider Group PLLC CurrentSince May 1, 2024 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
St. Johns Community Health CurrentSince Sep 16, 2024 Accepting new patients
St. Johns Community Health Current Accepting new patients
TMC Provider Group, PLLC CurrentSince May 1, 2024 Accepting new patients
Phynet, Inc. CurrentSince Mar 7, 2025 Accepting new patients
Vpa of Texas PLLC Internal Medicine CurrentSince May 9, 2016 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Mar 2, 2020 Accepting new patients
Premier Pain Consultants, PLLC CurrentSince Nov 1, 2017 Accepting new patients
St. Johns Community Health CurrentSince Sep 16, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince May 9, 2016 Accepting new patients
Vpa of Texas PLLC Internal Medicine Current Accepting new patients
University of Texas Health Science Center at San Antonio Internal Medicine CurrentSince Mar 2, 2020 Accepting new patients
Diagnostic Clinic of Longview PA Internal Medicine Past Accepting new patients
Lindale Medical Clinic, Inc PastSince Jun 8, 2025 Accepting new patients
St. Johns Community Health Past Accepting new patients
Phynet, Inc. Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

307 W Upshur Ave
Gladewater, TX 75647
Phone (903) 845-2159

4002 Technology Ctr
Longview, TX 75605
Phone (903) 247-0484

11212 State Highway 151
Ste 360
San Antonio, TX 78251
Phone (210) 520-4100

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

2425 Babcock Rd
San Antonio, TX 78229
Phone (210) 616-9400

2425 Babcock Rd
Ste 108
San Antonio, TX 78229
Phone (210) 298-9004

2833 Babcock Rd
San Antonio, TX 78229
Phone (210) 450-9890

2833 Babcock Rd
Ste 127
San Antonio, TX 78229

4800 Fredericksburg Rd
Ste 127
San Antonio, TX 78229
Phone (210) 348-5681

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1821089095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CANNERY ROW",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "75771",
            "telephone_number": "903-882-3194",
            "fax_number": "903-882-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CANNERY ROW",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "75771",
            "telephone_number": "903-882-3194",
            "fax_number": "903-882-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMENCHIK",
        "first_name": "ELLEN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-06-06",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G8366",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "AZ",
            "license": "35447",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "G8366",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "196118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138384615",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00456696",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138384621",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindale, TX

Sources for this page

Verify at the official NPI Registry.