Active NPI
Ben Joseph Elizondo, M.D.
- Pediatric Gastroenterology Physician
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- J7776
- Practice address
- 3201 University Dr E Ste 255
Bryan, TX 77802-3483 - Phone
- (979) 330-7140
- Fax
- (979) 256-0737
- NPI assigned
- Aug 9, 2006
- Last updated
- Apr 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 49076 | AZ | |
| Pediatric Gastroenterology Physician | 2080P0206X | 49076 | AZ | |
| Pediatric Gastroenterology Physician | 2080P0206X | J7776 | TX | Primary |
Addresses
Primary practice location
3201 University Dr E Ste 255
Bryan, TX 77802-3483
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Other practice location 1
109 Gallery Circle
Suite 127
San Antonio, TX 78258
Phone (210) 267-1197
Other practice location 2
2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone (602) 344-1015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone (480) 393-0575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Reddy Gi Associates | Current | Accepting new patients | |
| Community Medicine Associates | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Brazos Valley Physicians Organization,Mso-LLC | Current | Accepting new patients | |
| Reddy Gi Associates | Current | Accepting new patients | |
| Brazos Valley Physicians Organization,Mso-LLC | Current | Accepting new patients | |
| Central Arizona Gi & Liver Institute LLC | Past | Accepting new patients | |
| Maricopa County Special Health Care District | Past | Accepting new patients |
Locations
4001 E Baseline Rd
#102103
Gilbert, AZ 85234
5555 E Baseline Rd
Mesa, AZ 85206
Phone (480) 393-5075
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520
3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888
3201 University Dr E
Ste 470
Bryan, TX 77802
Phone (979) 731-3906
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
Interoperability endpoints
- belizondo281440@direct.valleywisehealth.org
- ben.elizondo.1@17191.direct.athenahealth.com
Organizations & group practices 11
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.
-
dba The Physicians Pain and Spine Centre
- Interventional Pain Medicine Physician
- Bryan, TX
- NPI 1366299539
-
dba University Medicine Associates
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba The Physicians Pain and Spine Centre
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1508399544
-
dba AZ Gastro Care Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Gilbert, AZ
- NPI 1164871075
-
dba Valleywise Health
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1295154045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1831109909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000",
"fax_number": "602-470-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E STE 255",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023483",
"telephone_number": "979-330-7140",
"fax_number": "979-256-0737"
}
],
"practiceLocations": [
{
"address_1": "109 Gallery Circle",
"address_2": "Suite 127",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "78258",
"country_code": "US",
"telephone_number": "210-267-1197",
"fax_number": "210-802-4926",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 E Roosevelt St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850084948",
"country_code": "US",
"telephone_number": "602-344-1015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELIZONDO",
"first_name": "BEN",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "49076",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "AZ",
"license": "49076",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "J7776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.