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MARY ZELIME ELIBOL M.D.
NPI 1477758084
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Fort Worth, TX

Active since June 15, 2007PECOS Enrolled
1300 W LANCASTER AVE STE 205, FORT WORTH, TX 76102(817) 336-8611(817) 390-2981 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2021, Nov 16, 2018 (2 updates tracked since 2018).

About Mary Zelime Elibol M.d. NPPES

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

MARY ZELIME ELIBOL M.D. (NPI 1477758084) is an individual neurology with special qualifications in child neurology provider in Fort Worth, Texas, licensed in Massachusetts (252548) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477758084
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameMARY ZELIME ELIBOLCredential: M.D.
Location Address1300 W LANCASTER AVE STE 205Fort Worth, TX 76102-3490
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1860 · Fax (682) 885-1396
Phone(817) 336-8611
Fax(817) 390-2981
Sole ProprietorNo
Enumeration DateJune 15, 2007
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
✔ NPI 1477758084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in MA · 252548✔ Licensed in NH · 15949
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License L-232250 (MA)
1300 W LANCASTER AVE STE 205, Fort Worth, TX 76102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Zelime Elibol M.d. 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 Mary Elibol reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
0.7 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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 76102 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 5

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

SANGEETA G ELHENCE M.D.
Pediatrics (Neurodevelopmental Disabilities)
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 336-8611
CHILD STUDY CENTER
Behavior Analyst
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 390-2904
MRS. REBECCA BLOSSOM NEANDER RN, CPNP
Nurse Practitioner (Primary Care)
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 336-8611
ANNE-MARIE ETHIER HAIN M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 336-8611
SALETHA BRENETHA SMITH
Pediatrics (Developmental - Behavioral Pediatrics)
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 336-8611

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 Mary Elibol's NPI number?

The NPI number for Mary Elibol is 1477758084. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Mary Elibol located?

Mary Elibol practices at 1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102. The listed phone number is (817) 336-8611.

What is Mary Elibol's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Mary Elibol enrolled in Medicare?

Yes. Mary Elibol is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Elibol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Elibol reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). 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 Mary Elibol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Elibol accept?

Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Mary Elibol 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 Mary Elibol was last updated on April 6, 2021. 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.