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EHRENTRAUD JOHANNA EICHELBAUM M.D.
NPI 1255518486
General Practice in Katy, TX

Active since January 30, 2008PECOS EnrolledAccepts Medicare Assignment
21685 KINGSLAND BLVD, KATY, TX 77450(346) 594-2104(346) 594-2103 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2026, Jun 5, 2019 (2 updates tracked since 2019).

About Ehrentraud Johanna Eichelbaum M.d. NPPES

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

EHRENTRAUD JOHANNA EICHELBAUM M.D. (NPI 1255518486) is an individual general practice provider in Katy, Texas, licensed in Texas (U7674) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1255518486
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameEHRENTRAUD JOHANNA EICHELBAUMCredential: M.D.
Location Address21685 KINGSLAND BLVDKaty, TX 77450-2512
Mailing Address8514 Sun Coral DrCypress, TX 77433-7529 · (941) 779-4869
Phone(346) 594-2104
Fax(346) 594-2103
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 30, 2008
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1255518486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in TX · U7674✔ Licensed in PR · 18573✔ Licensed in FL · ME140028
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPlastic SurgeryTaxonomy 208200000X · License U7674 (TX)
21685 KINGSLAND BLVD, Katy, TX 77450
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ehrentraud Johanna Eichelbaum M.d. 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 ID3779700836
PECOS Enrollment IDI20140813001547
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

3

Medicare enrollment records show Ehrentraud Eichelbaum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lowell F. Clark MD PA
827 mi
Internal Medicine
212 S FLORIDA ST
Bushnell, FL 33513
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
NPI 1629278882 (352) 787-1600
C3 Wellness, LLC
871 mi
Multi-Specialty
395 VILLAGE DR
Kissimmee, FL 34759
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1811490287 (407) 914-9168
Lake Nona Medical Services
873 mi
General Practice
115 E LANCASTER RD
Orlando, FL 32809
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1285296798 (407) 378-6686

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

Areas of Expertise CMS Part B claims 4

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.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,048 services71 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
191 services67 patients
Application of blood vessel compression device 97016
A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.
83 services35 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
42 services11 patients

Other Providers at the Same Location NPPES 3

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

DR. LOUIS D ANDERSON II DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
21685 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 578-0008
PANAGIOTIS KYTEAS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
21685 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 578-0008
PRO-ELITE MANAGEMENT SERVICES CORP
General Practice
21685 KINGSLAND BLVD
KATY, TX 77450
Harris County (346) 594-2104

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 Ehrentraud Eichelbaum's NPI number?

The NPI number for Ehrentraud Eichelbaum is 1255518486. It was assigned to this individual provider in the NPPES registry on January 30, 2008.

Where is Ehrentraud Eichelbaum located?

Ehrentraud Eichelbaum practices at 21685 Kingsland Blvd, Katy, TX 77450. The listed phone number is (346) 594-2104.

What is Ehrentraud Eichelbaum's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ehrentraud Eichelbaum enrolled in Medicare?

Yes. Ehrentraud Eichelbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ehrentraud Eichelbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ehrentraud Eichelbaum reassigns Medicare benefits to 3 organizations: Lowell F. Clark MD PA (Bushnell, FL), C3 Wellness, LLC (Kissimmee, FL) and Lake Nona Medical Services (Orlando, FL). 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 Ehrentraud Eichelbaum'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 Ehrentraud Eichelbaum was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.