Individual provider Active NPI

Ebele Elizabeth Obialo, MD

  • Internal Medicine Physician
  • Carrollton, TX
National Provider Identifier
1952300444
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K8392 Issued in TX
Practice address
4100 Fairway Dr Ste 620
Carrollton, TX 75010-6539
Phone
(972) 492-9901
Fax
(972) 492-9902
NPI assigned
Jul 18, 2005
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K8392 TX Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X K8392 TX

Addresses

Primary practice location

4100 Fairway Dr Ste 620
Carrollton, TX 75010-6539

Mailing address

PO Box 378
Coppell, TX 75019-0378
Phone (972) 492-9901

Other identifiers 2

IdentifierTypeStateIssuer
8M7340OtherTXBCBS
144194123MedicaidTX

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
I20040813000095 TX Practitioner - Internal MedicinePractitioner - Endocrinology 1850364415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1800 N Britain Rd
Parkland Health
Irving, TX 75061-2630
Phone (214) 266-3000

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District CurrentSince Jul 21, 2000 Accepting new patients
Dallas County Hospital District Internal Medicine CurrentSince Jul 21, 2000 Accepting new patients
Dallas County Hospital District Current Accepting new patients
Vickery Health Center Past Accepting new patients

Locations

2231 Butler St
#150
Dallas, TX 75235
Phone (214) 590-8396

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

8224 Park Ln
Dallas, TX 75231
Phone (214) 266-0350

802 Hopkins St
Garland, TX 75040
Phone (214) 266-0665

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: eobialo35410@direct.phhs.org

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 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1952300444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750190378",
            "telephone_number": "972-492-9901",
            "fax_number": "972-492-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR STE 620",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106539",
            "telephone_number": "972-492-9901",
            "fax_number": "972-492-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIALO",
        "first_name": "EBELE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8392",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "K8392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M7340",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144194123",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.