Individual provider Active NPI

Ellen Elizabeth Sugarek, PA-C

  • Physician Assistant
  • Bryan, TX
National Provider Identifier
1831372259
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2700 E 29TH St
Suite 235
Bryan, TX 77802-2531
Phone
(979) 774-4008
Fax
(979) 731-8914
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

2700 E 29TH St
Suite 235
Bryan, TX 77802-2531

Mailing address

2700 E 29TH St
Suite 235
Bryan, TX 77802-2531
Phone (979) 774-4008

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000128 TX Practitioner - Physician Assistant 2961572581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Heart CenterGroup PAC ID 6901880863, 10 clinicians
Journey Medical Care Group PLLCGroup PAC ID 8628512613, 25 clinicians

Practice addresses (Care Compare)

2700 E 29TH St
Suite 220
Bryan, TX 77802-2586
Phone (409) 774-4008

8313 Southwest Fwy
Suite 105
Houston, TX 77074-1612
Phone (713) 773-1102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Medical Care Group PLLC CurrentSince Feb 3, 2026 Accepting new patients
Texas a&M University System Health Science Center PastSince Sep 27, 2020 Accepting new patients
Texas a&M University System Health Science Center Past Accepting new patients

Locations

8313 Southwest Fwy
Ste 105
Houston, TX 77074
Phone (713) 773-1102

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1831372259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST",
            "address_2": "SUITE 235",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022531",
            "telephone_number": "979-774-4008",
            "fax_number": "979-731-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST",
            "address_2": "SUITE 235",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022531",
            "telephone_number": "979-774-4008",
            "fax_number": "979-731-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAREK",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.