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

JESUS ALEJANDRO ELIZONDO
NPI 1174380570
Nurse Practitioner - Family in Houston, TX

Active since March 01, 2024PECOS Enrolled
708 MAIN ST FL 10, HOUSTON, TX 77002(855) 212-2273(629) 240-6003 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jesus Alejandro Elizondo NPPES

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

JESUS ALEJANDRO ELIZONDO (NPI 1174380570) is an individual family provider in Houston, Texas, licensed in Texas (1154421) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alamo.

NPPES Registry Identity

NPI1174380570
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJESUS ALEJANDRO ELIZONDO
Location Address708 MAIN ST FL 10Houston, TX 77002-3246
Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273
Fax(629) 240-6003
Sole ProprietorYes
Enumeration DateMarch 1, 2024
Last NPPES UpdateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1174380570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1154421
708 MAIN ST FL 10, Houston, TX 77002

Secondary Practice Location 1

Location 11343 13th StAlamo, TX 78516-0339 · Phone (956) 263-7374

Other Identifiers 1

Medicaid1174380570TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesus Alejandro Elizondo 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 Reassignment

Medicare enrollment records show Jesus Elizondo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Texas enrollment
  • 91 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 77002 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES 20

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

Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Physician Assistant (Medical)
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002

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 Jesus Elizondo's NPI number?

The NPI number for Jesus Elizondo is 1174380570. It was assigned to this individual provider in the NPPES registry on March 1, 2024.

Where is Jesus Elizondo located?

Jesus Elizondo practices at 708 Main St Fl 10, Houston, TX 77002. The listed phone number is (855) 212-2273.

What is Jesus Elizondo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jesus Elizondo enrolled in Medicare?

Yes. Jesus Elizondo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesus Elizondo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesus Elizondo reassigns Medicare benefits to Monogram Health Professional Services Of Texas PLLC (Brentwood, TN). 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 Jesus Elizondo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jesus Elizondo was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.