ELIAS I FANOUS JR MD PA
NPI 1982880647
Internal Medicine - Gastroenterology in Tyler, TX
About Elias I Fanous Jr Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIAS I FANOUS JR MD PA (NPI 1982880647) is a healthcare organization registered as a gastroenterology in Tyler, Texas and active in the NPI registry since January 2008. The organization lists Elias I Fanous, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Elias I Fanous Jr Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Elias I Fanous Jr MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Elias I Fanous Jr MD PA's NPI number?
The NPI number for Elias I Fanous Jr MD PA is 1982880647. It was assigned to this organization in the NPPES registry on January 11, 2008.
Where is Elias I Fanous Jr MD PA located?
Elias I Fanous Jr MD PA is located at 700 Olympic Plaza Cir Suite 508, Tyler, TX 75701. The listed phone number is (903) 526-3030.
What is Elias I Fanous Jr MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Elias I Fanous Jr MD PA enrolled in Medicare?
Yes. Elias I Fanous Jr MD PA is registered in the Medicare PECOS enrollment system.
When is Elias I Fanous Jr MD PA'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 November 30, 2026. 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 Elias I Fanous Jr MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Elias I Fanous Jr MD PA, in Gastroenterology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 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 Elias I Fanous Jr MD PA was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Elias I Fanous Jr Md Pa · NPI 1982880647
Gastroenterology organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since January 11, 2008.
## Identity
- **NPI:** 1982880647 (Entity type: Organization)
- **Enumerated:** January 11, 2008
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Elias Fanous, OWNER
## Practice location
- **Address:** 700 OLYMPIC PLAZA CIR, SUITE 508, Tyler, TX 75701-1951
- **Phone:** (903) 526-3030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Gastroenterology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2008
- **Other identifiers:** Medicare PIN 00494T (TX); Medicare UPIN F80332 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1982880647) · Data from the CMS NPPES public registry.