ELIS MEDICAL CORPORATION
NPI 1912032384
Clinic/Center - Multi-Specialty in Colleyville, TX

Active since February 23, 2007
5207 HERITAGE AVE, COLLEYVILLE, TX 76034(817) 355-8000(817) 553-3536 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2025, Jan 20, 2020, Mar 19, 2018 and 1 more (4 updates tracked since 2018).

About Elis Medical Corporation NPPES

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

ELIS MEDICAL CORPORATION (NPI 1912032384) is a healthcare organization registered as a multi-specialty in Colleyville, Texas and active in the NPI registry since February 2007. The organization lists Tracy Schrimpf, Coo, as its authorized official.

NPPES Registry Identity

NPI1912032384
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameELIS MEDICAL CORPORATION
Location Address5207 HERITAGE AVEColleyville, TX 76034-5915
Mailing Address5207 Heritage AveColleyville, TX 76034-5915 · (817) 355-8000 · Fax (817) 553-3536
Fax(817) 553-3536
Organization SubpartNo
Authorized OfficialTracy SchrimpfCoo · (817) 355-8000
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMay 9, 20254 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1912032384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
5207 HERITAGE AVE, Colleyville, TX 76034

Other Identifiers 5

Other0011CKTX · Bcbs
Other6401723TX · Cigna
Other2517940TX · Aetna
Medicaid079735901TX
Other7300217TX · Aetna

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elis Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20050520000350Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Elis Medical Corporation, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice6
Nurse Practitioner2
Chiropractic1
Internal Medicine1
Preventive Medicine1

Clinicians, nearest first (11)

Family Practice
NPI 1902855687
5207 HERITAGE AVE STE105
Colleyville, TX 76034
(817) 355-8000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1093731812
5207 HERITAGE AVE
Colleyville, TX 76034
(817) 355-8000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1851917363
5207 HERITAGE AVE
Colleyville, TX 76034
(817) 355-8000
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1477735041
5207 HERITAGE AVE
Colleyville, TX 76034
(817) 355-8000
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700537974
5207 HERITAGE AVE
Colleyville, TX 76034
(817) 355-0000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700379740
5207 HERITAGE AVE
Colleyville, TX 76034
(817) 355-8000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1891135125
1604 LANCASTER DR
Grapevine, TX 76051
(855) 893-5637
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1295288256
5500 N MACARTHUR BLVD
Irving, TX 75038
(972) 518-1325
✔ PECOS8.2 mi
Family Practice
NPI 1700319373
6124 W PARKER RD SUITE # 234
Plano, TX 75093
(972) 468-9999
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1326480732
1301 S BONNIE BRAE ST
Denton, TX 76207
(817) 735-0269
✔ PECOS✔ Accepts Medicare22 mi
Preventive Medicine
NPI 1487816914
5122 GLENCROSSING WAY
Cincinnati, OH 45238
(513) 827-9044
✔ PECOS820 mi

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

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 Elis Medical Corporation's NPI number?

The NPI number for Elis Medical Corporation is 1912032384. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Elis Medical Corporation located?

Elis Medical Corporation is located at 5207 Heritage Ave, Colleyville, TX 76034. The listed phone number is (817) 355-8000.

What is Elis Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Elis Medical Corporation enrolled in Medicare?

Yes. Elis Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Elis Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Elis Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Elis Medical Corporation. A 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 the clinician's services. The largest specialties are Family Practice (6), Nurse Practitioner (2) and Chiropractic (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elis Medical Corporation was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.