Individual provider Active NPI

Elizabeth A Jekot, MD

  • Diagnostic Radiology Physician
  • Richardson, TX
National Provider Identifier
1891773933
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H8155 Issued in TX
Practice address
3301 E Renner Rd
Richardson, TX 75082-2801
Phone
(469) 814-5500
NPI assigned
Jan 9, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X H8155 TX Primary

Addresses

Primary practice location

3301 E Renner Rd
Richardson, TX 75082-2801

Mailing address

PO Box 832265
Richardson, TX 75083-2265
Phone (469) 814-5500

Other identifiers 7

IdentifierTypeStateIssuer
132322204MedicaidTX
132322207MedicaidTX
084868101MedicaidTX
080064149OtherTXMEDICARE RAILROAD
00R68ROtherTXBCBS
080064149OtherTXRAILROAD
82X790OtherTXBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051021000389 TX Practitioner - Diagnostic Radiology 6507882271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3301 E Renner Rd
100 Elizabeth Jekot
Richardson, TX 75082-1802
Phone (214) 442-7050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth a Jekot MD PA CurrentSince Jan 1, 1995 Accepting new patients
Elizabeth a Jekot MD PA Past Accepting new patients
Susan C Gaskill MD PA Diagnostic Radiology Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

4708 Alliance Blvd
Ste 4
Plano, TX 75093
Phone (469) 814-5500

3301 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (214) 442-7050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1891773933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832265",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750832265",
            "telephone_number": "469-814-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E RENNER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822801",
            "telephone_number": "469-814-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEKOT",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H8155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132322204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132322207",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084868101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080064149",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00R68R",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080064149",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82X790",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.