ELAIN LOQUIAS DO
NPI 1609368653
Hospitalist in Baytown, TX

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
4401 GARTH RD, BAYTOWN, TX 77521(281) 420-8600 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elain Loquias Do NPPES

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

ELAIN LOQUIAS DO (NPI 1609368653) is an individual hospitalist provider in Baytown, Texas, licensed in Texas (10063748) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Baytown Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609368653
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameELAIN LOQUIASCredential: DO
Location Address4401 GARTH RDBaytown, TX 77521-2122
Mailing Address9806 Blissful Prairie LnHouston, TX 77080-2758
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 5, 2018
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1609368653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · 10063748
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
4401 GARTH RD, Baytown, TX 77521

Accepted Insurance

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

Elain Loquias Do 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 ID4284038712
PECOS Enrollment IDI20210805002724
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

4

Medicare enrollment records show Elain Loquias reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Otolaryngology
7550 GREENBRIAR DR STE 600
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 1,579 clinicians in this Medicare group
Hospitalist
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
271 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services53 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
98 services95 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers24 claims24 services$68.54 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$31.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Critical Care Medicine)
4401 GARTH RD
BAYTOWN, TX 77521
Plastic Surgery
4401 GARTH RD
BAYTOWN, TX 77521
Hospitalist
4401 GARTH RD
BAYTOWN, TX 77521
Nurse Practitioner (Adult Health)
4401 GARTH RD
BAYTOWN, TX 77521
Nurse Practitioner (Adult Health)
4401 GARTH RD
BAYTOWN, TX 77521
Hospitalist
4401 GARTH RD
BAYTOWN, TX 77521
Nurse Practitioner (Family)
4401 GARTH RD
BAYTOWN, TX 77521
Pharmacist
4401 GARTH RD
BAYTOWN, TX 77521

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 Elain Loquias's NPI number?

The NPI number for Elain Loquias is 1609368653. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Elain Loquias located?

Elain Loquias practices at 4401 Garth Rd, Baytown, TX 77521. The listed phone number is (281) 420-8600.

What is Elain Loquias's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Elain Loquias enrolled in Medicare?

Yes. Elain Loquias 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 Elain Loquias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elain Loquias reassigns Medicare benefits to 4 organizations: Tmh Physician Associates PLLC (Houston, TX), Houston Methodist Specialty Physicians (Houston, TX), Lonestar Pat Associates PA (Round Rock, TX) and Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX). 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 Elain Loquias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elain Loquias accept?

Health plans from Blue Cross and Blue Shield of Texas list Elain Loquias 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.

Is Elain Loquias affiliated with any hospitals?

According to CMS data, Elain Loquias is affiliated with Houston Methodist Baytown Hospital and St David's South Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Elain Loquias was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.