Achala Ellepola, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K6576 Issued in TX

Practice address

8200 O'Brian Way
North Richland Hills, TX 76180

Phone

(817) 702-4855

Fax

(817) 428-4413

NPI assigned

Aug 30, 2006

Last updated

Oct 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIBIAD

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.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD
• Health Services of North Texas, Inc.

  • Family Medicine Physician
  • Denton, TX
  • NPI 1235154824
  Medicare reassignment
• Health Services of North Texas, Inc

  • Federally Qualified Health Center (FQHC)
  • Plano, TX
  • NPI 1790232007
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1881703023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732973",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753732973",
            "telephone_number": "817-702-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 O'BRIAN WAY",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76180",
            "telephone_number": "817-702-4855",
            "fax_number": "817-428-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEPOLA",
        "first_name": "ACHALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Eifling, AG-ACNP
• Michael D Eifling, M.D.
• Ejv Home Care Services, LLC (Preferred Care at Home of North Fort Worth & North Dallas)
• Elevated Essence Health & Wellness Spa LLC
• Elevation Health North Richland
• John Pete Elliott, RPH
• Kathleen Ellis, LPC
• Laila Elnashef
• Emc Your Private ER Inc
• Emergency Medical Center Inc

• Pediatrics Physician in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.