Nancy Elawabdeh, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

S2577 Issued in TX

Practice address

23127 Ih 10 W Ste 101
San Antonio, TX 78257-2507

Phone

(210) 922-1850

NPI assigned

Mar 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• San Antonio Premier Internal Medicine, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1891958542
  Medicare reassignment NPD

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1972965564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23127 IH 10 W STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572507",
            "telephone_number": "210-922-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23127 IH 10 W STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572507",
            "telephone_number": "210-922-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAWABDEH",
        "first_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-09-30",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S2577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972965564",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@briopediatrics.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "23127 Ih 10 W Ste 101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782572507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hakim Elamin
• Elan Elite
• Moses Elango, DDS
• Anagha Elati
• Alvin Clark Elauria, ACNPC-AG
• Sarah Elbayeh
• Samantha Jan Elbel
• Danielle Nicole Elbrecht, M.A., LPC
• Elder Care Behavioral Health Services PLLC
• Elder Dent of Texas, PLLC

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.