David P Ellent PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DAVID P ELLENT PLLC

Doing business as

Genesis Medical Group

Practice address

22001 Northpark Dr Ste 220
Kingwood, TX 77339-3810

Phone

(281) 319-8399

NPI assigned

Jul 18, 2019

Last updated

Apr 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivan Tarasenko

Title

Coo

Phone

(281) 908-0686

Specialties & licenses 1

Addresses

Other names 1

• Genesis Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• David P Ellent PLLC

  • Pulmonary Disease Physician
  • Spring, TX
  • NPI 1245777440

  7012290885

  Same PAC ID
• David P Ellent PLLC

  dba BVA United Pharmacy

  • Community/Retail Pharmacy
  • Shenandoah, TX
  • NPI 1427614841

  7012290885

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose William Aguirre, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1205086311
  NPD
• Talha Aijaz, MD

  • Hematology & Oncology Physician
  • Houston, TX
  • NPI 1225567233
  NPD
• Ayham Alsaab, DO

  • Internal Medicine Physician
  • Spring, TX
  • NPI 1790434629
  NPD
• Olivia Antonello, FNP-C

  • Family Nurse Practitioner
  • The Woodlands, TX
  • NPI 1609121680
  NPD
• Alida Askren, APRN

  • Family Nurse Practitioner
  • New Braunfels, TX
  • NPI 1225787013
  NPD
• Ali Ayoubi, M.D.

  • Cardiovascular Disease Physician
  • Shenandoah, TX
  • NPI 1104948017
  NPD
• Gabriela Sardinas Bahr, M.D.

  • Rheumatology Physician
  • Spring, TX
  • NPI 1922340611
  NPD
• Srijaya Bandi, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1295907525
  NPD
• Arindam Bandyopadhyay, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New Braunfels, TX
  • NPI 1407843972
  NPD
• Tamaura Baughman, APRN

  • Family Nurse Practitioner
  • Kingwood, TX
  • NPI 1437520921
  NPD
• Jason Ertan Berilgen, MD

  • Radiation Oncology Physician
  • The Woodlands, TX
  • NPI 1972707578
  NPD
• Anthony Charles Bienek, DO

  • Internal Medicine Physician
  • New Braunfels, TX
  • NPI 1336376995
  NPD

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1891348959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22001 NORTHPARK DR STE 220",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393811",
            "telephone_number": "281-908-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 NORTHPARK DR STE 220",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393810",
            "telephone_number": "281-319-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P ELLENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "TARASENKO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "281-908-0686"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita Rani Datta, M.D.
• Ronald D Davenport, M.ED., LPC, CEAP
• David F Villacres Mdpa
• David H. Steed (S.E. Gustafson, O.D. and David H. Steed, O.D.)
• David J Massey (Kingwood Spine and Wellness)
• Jordyn Amir Davidson
• Kayleen Davie, LMSW
• Destiny La'Nell Davis
• Garth P. Davis, MD
• John Davis, MD

• Clinical Medical Laboratory in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.