CARLOS R ELIZONDO MD PLLC
NPI 1104278860
Family Medicine in Alice, TX
About Carlos R Elizondo Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS R ELIZONDO MD PLLC (NPI 1104278860), doing business as Elizondo Medical Group, is a healthcare organization registered as a family medicine in Alice, Texas and active in the NPI registry since July 2016. The organization holds 4 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Carlos Rafael Elizondo, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlos R Elizondo Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Carlos R Elizondo MD PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2166618
Carlos R Elizondo MD PLLC · Corpus Christi, TXCertificate of Waiver 45D2156842
Carlos R Elizondo MD PLLC · Corpus Christi, TXCertificate of Waiver 45D2336291
Carlos R Elizondo MD, PLLC · Victoria, TXCertificate of Waiver 45D2336293
Carlos R Elizondo MD, PLLC · Kingsville, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carlos R Elizondo MD PLLC's NPI number?
The NPI number for Carlos R Elizondo MD PLLC is 1104278860. It was assigned to this organization in the NPPES registry on July 6, 2016. The provider is doing business as Elizondo Medical Group.
Where is Carlos R Elizondo MD PLLC located?
Carlos R Elizondo MD PLLC is located at 230 S Gulf St, Alice, TX 78332. The listed phone number is (361) 664-0303.
What is Carlos R Elizondo MD PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carlos R Elizondo MD PLLC enrolled in Medicare?
Yes. Carlos R Elizondo MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carlos R Elizondo MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Carlos R Elizondo MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11) and Family Practice (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carlos R Elizondo MD PLLC hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Carlos R Elizondo MD PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Carlos R Elizondo MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carlos R Elizondo MD PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carlos R Elizondo Md Pllc · NPI 1104278860
Family Medicine organization in Alice, Texas. Organization record, active in the CMS NPPES registry since July 6, 2016.
## Identity
- **NPI:** 1104278860 (Entity type: Organization)
- **Enumerated:** July 6, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Elizondo Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Carlos Elizondo, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 230 S GULF ST, Alice, TX 78332-4310
- **Phone:** (361) 664-0303 · **Fax:** (866) 845-0933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2025
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104278860) · Data from the CMS NPPES public registry.