Individual provider Active NPI

Reuben J. Elovitz, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1972515377
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1841 Issued in TX
Practice address
6119 Berkshire LN
Dallas, TX 75225-5502
Phone
(214) 734-9961
Fax
(214) 865-6991
NPI assigned
Aug 13, 2006
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L1841 TX Primary

Addresses

Primary practice location

6119 Berkshire LN
Dallas, TX 75225-5502

Mailing address

6119 Berkshire LN
Dallas, TX 75225-5502
Phone (214) 734-9961

Other practice location 1

12200 Preston Rd
Dallas, TX 75230-2223
Phone (972) 560-2667

Other identifiers 1

IdentifierTypeStateIssuer
8916M0OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2013 through Apr 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reuben J. Elovitz, M.D., PLLC Internal Medicine Current Accepting new patients
Healthtexas-Med Provider Internal Medicine Past Accepting new patients

Locations

6119 Berkshire Ln
Dallas, TX 75225
Phone (214) 740-6086

Interoperability endpoints

  • Direct secure messaging: reuben.elovitz.1@18352.direct.athenahealth.com
  • Direct secure messaging: reuben.elovitz.1@31484.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1972515377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 BERKSHIRE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255502",
            "telephone_number": "214-734-9961",
            "fax_number": "214-865-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 BERKSHIRE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255502",
            "telephone_number": "214-734-9961",
            "fax_number": "214-865-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Preston Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302223",
            "country_code": "US",
            "telephone_number": "972-560-2667",
            "fax_number": "972-560-6334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELOVITZ",
        "first_name": "REUBEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8916M0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.