Active NPI
Anthony John Elisco III, D.O.
- Urology Physician
- Greenville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- Q9805
- Practice address
- 4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856 - Phone
- (903) 408-7930
- Fax
- (903) 408-7929
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | OS007527L | PA | |
| Urology Physician | 208800000X | Q9805 | TX | Primary |
Addresses
Primary practice location
4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856
Mailing address
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5834
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366443501 | Medicaid | TX | |
| 539307YMPG | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040511000285 | PA | Practitioner - Urology | 0345239208 | Reassigns benefits to 1 organization |
| I20161111001234 | TX | Practitioner - Urology | 0345239208 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hunt Regional Medical Partners Specialists
Practice addresses (Care Compare)
4211 Joe Ramsey Blvd E
Suite 100
Greenville, TX 75401-7856
Phone (903) 408-7771
Hospital & facility affiliations
- Hunt Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007527L | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunt Regional Medical Partners Specialists | Current | Accepting new patients | |
| Upmc Community Medicine Inc | Current | Accepting new patients | |
| Upmc Community Medcine Inc | Current | Accepting new patients | |
| Hunt Memorial Hospital District | Current | Accepting new patients | |
| Hunt Memorial Hospital District | Current | Accepting new patients | |
| Upmc Community Medicine, Inc | Current | Accepting new patients | |
| Hunt Regional Medical Partners | Current | Accepting new patients | |
| Northwestern Pennsylvania Urology Assoc PC | Urology | Past | Accepting new patients |
Locations
875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622
2623 Wilmington Rd
#B
New Castle, PA 16105
Phone (724) 588-6660
339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762
4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700
4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470
501 Air Park Ave
Greenville, TX 75402
Phone (800) 806-2067
Interoperability endpoints
- anthony.elisco.3@9148.direct.athenahealth.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
- Skilled Nursing Facility
- Royse City, TX
- NPI 1750833901
-
- Urgent Care Clinic/Center
- Greenville, TX
- NPI 1821593567
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1982731758
Hospital & facility affiliations 1
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": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1922021856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 JOE RAMSEY BLVD E",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017852",
"telephone_number": "903-408-5834",
"fax_number": "903-408-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 JOE RAMSEY BLVD E STE 100",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017856",
"telephone_number": "903-408-7930",
"fax_number": "903-408-7929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELISCO",
"first_name": "ANTHONY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "OS007527L",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "Q9805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366443501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "539307YMPG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.
- 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.