Organization Active NPI

Elite Neurology PA

  • Neurology Physician
  • Kingwood, TX
National Provider Identifier
1982473815
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ELITE NEUROLOGY PA
Practice address
320 Kingwood Executive Dr.
Ste E
Kingwood, TX 77339
Phone
(281) 359-5981
Fax
(281) 359-3591
NPI assigned
Dec 20, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Uzma Ali, MDNPI 1235337254
Title
President
Phone
(832) 499-2545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

320 Kingwood Executive Dr.
Ste E
Kingwood, TX 77339

Mailing address

320 Kingwood Executive Dr.
Ste E
Kingwood, TX 77339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241211000974 TX Part B Supplier - Clinic/Group Practice 9133655384 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

Locations

320 Kingwood Executive Dr
Ste E
Kingwood, TX 77339
Phone (281) 359-5981

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1982473815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 KINGWOOD EXECUTIVE DR.",
            "address_2": "STE E",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KINGWOOD EXECUTIVE DR.",
            "address_2": "STE E",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-5981",
            "fax_number": "281-359-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "UZMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-499-2545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.