Individual provider Active NPI

Mary Elizabeth Klenz, MD

  • Obstetrics & Gynecology Physician
  • McAllen, TX
National Provider Identifier
1861437782
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K8264 Issued in TX
Practice address
1400 E Ridge Rd Ste #4
McAllen, TX 78503
Phone
(956) 630-0240
Fax
(956) 630-1470
NPI assigned
Jun 17, 2006
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K8264 TX Primary

Addresses

Primary practice location

1400 E Ridge Rd Ste #4
McAllen, TX 78503

Mailing address

1400 E Ridge Rd Ste #4
McAllen, TX 78503
Phone (956) 630-0240

Other identifiers 1

IdentifierTypeStateIssuer
037567702MedicaidTX

Other names 1

  • M. Elizabeth Klenz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000000TXMDIndependent Medical Examiner Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Rio Grande Valley Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melizabeth.klenz@txa029.digichart.direct-ci.com

Organizations & group practices 2

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1861437782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD STE #4",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78503",
            "telephone_number": "956-630-0240",
            "fax_number": "956-630-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD STE #4",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78503",
            "telephone_number": "956-630-0240",
            "fax_number": "956-630-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENZ",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K8264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037567702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "KLENZ",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.