Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS ELIZABETH ONTIVEROS PA-C
NPI 1124431655
Physician Assistant in Far Rockaway, NY

Q: What is Elizabeth Ontiveros's NPI number?

The NPI number for Elizabeth Ontiveros is 1124431655. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Q: What is Elizabeth Ontiveros's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 02, 2014PECOS Enrolled

1612 CENTRAL AVE, FAR ROCKAWAY, NY 11691(718) 831-2755 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Apr 27, 2017 (2 updates tracked since 2017).

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About Miss Elizabeth Ontiveros Pa-c NPPES

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

MISS ELIZABETH ONTIVEROS PA-C (NPI 1124431655) is an individual physician assistant in Far Rockaway, New York, licensed in New York (032314) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2006).

NPPES Registry Identity

NPI1124431655

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS ELIZABETH ONTIVEROSCredential: PA-C

Location Address1612 CENTRAL AVEFar Rockaway, NY 11691-4002

Mailing Address17002 Gleneagle Dr S Ste 101Conroe, TX 77385-4614 · (832) 447-7123

Phone(718) 831-2755

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2006

Enumeration DateJune 2, 2014

Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1124431655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NY · 032314✔ Licensed in TX · PA09672

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1612 CENTRAL AVE, Far Rockaway, NY 11691

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Secondary Practice Locations 2

Location 125118 Grogans Mill RdThe Woodlands, TX 77380-4346 · Phone (346) 533-1838

Location 217002 Gleneagle Dr SConroe, TX 77385-4614 · Phone (832) 447-7123 · Fax (346) 351-1857

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Elizabeth Ontiveros Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709195597

PECOS Enrollment IDI20151019000074, I20251128000622

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

34 services17 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

22 services15 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

17 services17 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MOSTAFA KARAM SOROUR MAHMOUD

Physician Assistant (Surgical)