ELLEN ELMORE MD
NPI 1164694634
Family Medicine in Austin, TX
About Ellen Elmore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN ELMORE MD (NPI 1164694634) is an individual family medicine provider in Austin, Texas, licensed in Texas (P2852) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Elmore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ellen Elmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kobuk, AK 99751
- Reassigned Medicare billing, Texas enrollment
- 208 clinicians in this Medicare group
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 78759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78759
AUSTIN, TX 78759
AUSTIN, TX 78759
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 Ellen Elmore's NPI number?
The NPI number for Ellen Elmore is 1164694634. It was assigned to this individual provider in the NPPES registry on March 25, 2008.
Where is Ellen Elmore located?
Ellen Elmore practices at 11149 Research Blvd Suite 210, Austin, TX 78759. The listed phone number is (512) 231-1901.
What is Ellen Elmore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ellen Elmore enrolled in Medicare?
Yes. Ellen Elmore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ellen Elmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Elmore reassigns Medicare benefits to Maniilaq Association (Kobuk, AK). The 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 Ellen Elmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Elmore accept?
Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Ellen Elmore 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 Ellen Elmore was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ellen Elmore, MD · NPI 1164694634
Family Medicine physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since March 25, 2008.
## Identity
- **NPI:** 1164694634 (Entity type: Individual)
- **Enumerated:** March 25, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** P2852 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11149 RESEARCH BLVD, SUITE 210, Austin, TX 78759-5279
- **Phone:** (512) 231-1901 · **Fax:** (512) 231-1902
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Maniilaq Association (NPI 1265709901, Kobuk, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2013
- **Other identifiers:** Medicaid 313465201 (TX); Medicare PIN 263036YKXY (TX); Medicaid 313465202 (TX); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164694634) · Data from the CMS NPPES public registry.