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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: August 09, 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
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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.

What insurance does Mary Elibol accept?

Health plans from Baylor Scott and White Health Plan 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.