Steven Ellerbe

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H9909 Issued in TX

Practice address

720 Travis St
Liberty, TX 77575-4828

Phone

(936) 336-6439

Fax

(936) 336-6517

NPI assigned

Jul 7, 2005

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Liberty Medical Rural Health Clinic

  • Rural Health Clinic/Center
  • Liberty, TX
  • NPI 1871590703

  General Partnership Interest

  CMS ownership

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.

• Medconmd1 PLLC

  • Emergency Medicine Physician
  • Forney, TX
  • NPI 1811437841

  Family Medicine

  Medicare reassignment NPD
• El Paso Carenow Urgent Care, PLLC

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1417435827
  NPD
• Medconmd1 PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1649028267
  NPD
• Liberty Medical Rural Health Clinic

  • Rural Health Clinic/Center
  • Liberty, TX
  • NPI 1871590703

  Family Medicine

  NPD (past)
• St. David's Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1902803653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 TRAVIS ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 TRAVIS ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754828",
            "telephone_number": "936-336-6439",
            "fax_number": "936-336-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERBE",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2336540",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Garden Transportation
• Divine Integrity Group House LLC
• Virginia R Drake, RVT, RT, LVN
• Dungarvin Texas, LLC (Holly St. Community Residence)
• Stephanie Jernigan Easley, D.C.
• Ess of South Texas LLC
• Family Christian Care Service
• Faresh Mehta, O.D., P.a.
• Britney Ferguson
• Letha Ferguson, FNPC

• Family Medicine Physician in Liberty, TX
• Providers in Liberty, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.