Individual provider Active NPI

Albert J. Elumn, MD

  • Addiction Psychiatry Physician
  • Lutz, FL
National Provider Identifier
1891292025
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
S5889 Issued in TX
Practice address
2943 Allegra Way
Lutz, FL 33559-6998
Phone
(813) 934-2953
NPI assigned
Apr 13, 2018
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X S5889 TX
Addiction Psychiatry Physician 2084P0802X ME163300 FL
Addiction Psychiatry Physician 2084P0802X S5889 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X 12256628-1205 UT

Addresses

Primary practice location

2943 Allegra Way
Lutz, FL 33559-6998

Mailing address

3571 Far West Blvd
Unit 3124
Austin, TX 78731-3064
Phone (832) 212-5979

Other practice location 1

3571 Far West Blvd # 3124
Austin, TX 78731-3064
Phone (512) 522-1385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240715001738 TX Practitioner - Psychiatry 7810242005 Reassigns benefits to 2 organizations
I20240813000885 FL Practitioner - Psychiatry 7810242005 Reassigns benefits to 1 organization
I20250422001923 CA Practitioner - Psychiatry 7810242005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas a & M University System, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrews CenterGroup PAC ID 9739170770, 23 clinicians
Sgars Holdings PLLCGroup PAC ID 5092155762, 5 clinicians
Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians

Practice addresses (Care Compare)

2323 W Front St
Tyler, TX 75702-7704
Phone (903) 597-1351

2943 Allegra Way
Winmind Health
Lutz, FL 33559-6998
Phone (813) 922-1525

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5889TXMDPsychiatry Physician
12256628-1205UTMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methadone Clinic of East Texas LLC CurrentSince Sep 1, 2025 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Feb 9, 2025 Accepting new patients
Sgars Holdings PLLC Psychiatry CurrentSince Jun 23, 2024 Accepting new patients
Andrews Center -Pinkerton CurrentSince Aug 12, 2024 Accepting new patients
Sgars Holdings PLLC CurrentSince Jun 23, 2024 Accepting new patients
Specialty Clinic Medical Group, PLLC Psychiatry CurrentSince Jan 19, 2025 Accepting new patients
Andrews Center Psychiatry Current Accepting new patients
Andrew Center -Adt MH CurrentSince Aug 12, 2024 Accepting new patients
Andrews Center - Mr Past Accepting new patients
Andrews Center - Elliott St Past Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients

Locations

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

2943 Allegra Way
Lutz, FL 33559
Phone (813) 922-1525

2949 Allegra Way
Lutz, FL 33559
Phone (201) 893-6136

16554 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 517-5989

6901 State Highway 19 S
Athens, TX 75751
Phone (903) 675-8541

2217 Park Bend Dr
Austin, TX 78758
Phone (916) 746-2343

2217 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 382-1933

1738 Elliot Dr
Canton, TX 75103
Phone (903) 597-5067

575 W State Highway 243
Canton, TX 75103
Phone (903) 567-4197

1174 E Lennon Dr
Ste C
Emory, TX 75440
Phone (903) 473-2652

703 W Patten St
Mineola, TX 75773
Phone (903) 569-5409

1722 W Front St
Tyler, TX 75702
Phone (903) 593-4004

2323 W Front St
Tyler, TX 75702
Phone (903) 535-7355

Networks

  • Freedom Health HMO Network

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1891292025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 FAR WEST BLVD",
            "address_2": "UNIT 3124",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313064",
            "telephone_number": "832-212-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 ALLEGRA WAY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596998",
            "telephone_number": "813-934-2953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3571 Far West Blvd # 3124",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787313064",
            "country_code": "US",
            "telephone_number": "512-522-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELUMN",
        "first_name": "ALBERT",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S5889",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME163300",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "S5889",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "12256628-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.