Individual provider Active NPI

Ben Joseph Elizondo, M.D.

  • Pediatric Gastroenterology Physician
  • Bryan, TX
National Provider Identifier
1831109909
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
J7776 Issued in TX
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 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
I20140919000160 TX Practitioner - Gastroenterology 6800999277 Reassigns benefits to 2 organizations
I20250327001150 AZ Practitioner - GastroenterologyPractitioner - Pediatric Medicine 6800999277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Pediatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reddy Gi AssociatesGroup PAC ID 1557407459, 18 clinicians

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

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Mar 1, 2025 Accepting new patients
Reddy Gi Associates CurrentSince Apr 18, 2026 Accepting new patients
Community Medicine Associates Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
District Medical Group, Inc Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Brazos Valley Physicians Organization,Mso-LLC CurrentSince Dec 1, 2023 Accepting new patients
Reddy Gi Associates CurrentSince Apr 18, 2026 Accepting new patients
Brazos Valley Physicians Organization,Mso-LLC CurrentSince Dec 1, 2023 Accepting new patients
Central Arizona Gi & Liver Institute LLC PastSince Apr 18, 2026 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

  • Direct secure messaging: belizondo281440@direct.valleywisehealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.