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NAYER B EL-ASHRAM MD
NPI 1114989746
Internal Medicine - Pulmonary Disease in Decatur, TX

Active since April 06, 2006PECOS Enrolled
2301 S FM 51 STE 300, DECATUR, TX 76234(940) 627-1435(940) 627-1453 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2020, Aug 13, 2019, May 17, 2016 (3 updates tracked since 2016).

About Nayer B El-ashram Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAYER B EL-ASHRAM MD (NPI 1114989746) is an individual pulmonary disease provider in Decatur, Texas, licensed in Texas (H9071) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114989746
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameNAYER B EL-ASHRAMCredential: MD
Location Address2301 S FM 51 STE 300Decatur, TX 76234-3864
Mailing Address400 Hospital Dr Ste 111Corsicana, TX 75110-2489 · (903) 641-3815 · Fax (903) 641-3863
Phone(940) 627-1435
Fax(940) 627-1453
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateNovember 2, 20203 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1114989746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · H9071
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2301 S FM 51 STE 300, Decatur, TX 76234
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11305 Wonder World Dr, Suite 309San Marcos, TX 78666-7546 · Phone (512) 805-5640 · Fax (512) 805-5645
Location 2400 Hospital Dr Ste 101Corsicana, TX 75110 · Phone (903) 641-3800
Location 32301 S Fm 51 Ste 300Decatur, TX 76234-3864 · Phone (940) 627-1435 · Fax (940) 627-1453

Other Identifiers 6

Other00K19YTX · Blue Cross/blue Shield
Medicaid034345104TX
Medicaid034345105TX
MedicaidPENDINGTX
Medicaid034345103TX
OtherPENDINGTX · Bcbstx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nayer B El-ashram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nayer El-ashram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Employee Assistance Program Inc.
64 mi
Family Medicine
2704 N GALLOWAY AVE, SUITE 103
Mesquite, TX 75150
  • Reassigned Medicare billing, Texas enrollment
  • 318 clinicians in this Medicare group
NPI 1215348487 (214) 660-2500
Texas Allergy & Breathing Centers, P.A.
65 mi
Pulmonary Disease
1611 N BELT LINE RD, STE C
Mesquite, TX 75149
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
NPI 1427225010 (972) 288-3471

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$90.84 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims42 services$37.54 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers15 claims15 services$20.81 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers19 claims19 services$18.97 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers22 claims129 services$2.79 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$39.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSULTANTS IN LUNGS AND CRITICAL CARE LLC
Internal Medicine (Pulmonary Disease)
2301 S FM 51 STE 300
DECATUR, TX 76234
Wise County (409) 627-1435
KAD OPHTHALMOLOGY PLLC
Ophthalmology
2301 S FM 51 STE 300
DECATUR, TX 76234
Wise County (940) 600-5799
DR. KOURTNEY ANN DWYER MD
Ophthalmology
2301 S FM 51 STE 300
DECATUR, TX 76234
Wise County (940) 600-5799
HARPREET SINGH SURI MD
Internal Medicine (Pulmonary Disease)
2301 S FM 51 STE 300
DECATUR, TX 76234
Wise County (940) 627-1435

Frequently 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 Nayer El-ashram's NPI number?

The NPI number for Nayer El-ashram is 1114989746. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Nayer El-ashram located?

Nayer El-ashram practices at 2301 S Fm 51 Ste 300, Decatur, TX 76234. The listed phone number is (940) 627-1435.

What is Nayer El-ashram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nayer El-ashram enrolled in Medicare?

Yes. Nayer El-ashram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nayer El-ashram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nayer El-ashram reassigns Medicare benefits to 2 organizations: Regional Employee Assistance Program Inc. (Mesquite, TX) and Texas Allergy & Breathing Centers, P.A. (Mesquite, TX). Each 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 Nayer El-ashram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nayer El-ashram accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Nayer El-ashram 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 Nayer El-ashram was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.