B KEITH ELLIS (NPI# 1821046780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821046780 |
| Entity Type | Individual |
| Full Name | B KEITH ELLIS |
| Credential | M. D. |
| Practice Address |
16651 Southwest Fwy Mob 1, Suite 400 Sugar Land TX 77479-2345 |
| Practice Telephone | 7137769500 |
| Practice Fax Number | 7134007220 |
| Mailing Telephone | 7137769500 |
| Mailing Fax Number | 7134007220 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
L7368 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 166000304 | 05 | |
| TX | 166000305 | 05 | |
| RR MEDICARE | P01086528 | 01 | |
| TX | 166000306 | 05 | |
| TX | RR MEDICARE | P01301854 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 1821046780 | 01 |
| TX | BCBS | 8DJ181 | 01 |
| TX | 166000303 | 05 |
| Street Address |
16651 SOUTHWEST FWY MOB 1, SUITE 400 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633099 | David G Galvan | Obstetrics & Gynecology | 16651 Southwest Fwy, Suite 200, Sugar Land, TX 77479-2345 | 2005-07-14 |
| 1174877492 | Sugarland Neo Peds Care Pllc | Clinic/Center | 16651 Southwest Fwy, Suite 150, Sugar Land, TX 77479-2345 | 2012-11-08 |
| 1740533017 | Utsavi Shah | Obstetrics & Gynecology | 16651 Southwest Fwy, Suite 200, Sugar Land, TX 77479-2345 | 2012-10-23 |
| 1407117138 | John Boon Md Urology | Urology | 16651 Southwest Fwy, Suite 310, Sugar Land, TX 77479-2345 | 2012-05-29 |
| 1124352976 | Madison Hisey | Physician Assistant | 16651 Southwest Fwy, Suite 360, Sugar Land, TX 77479-2345 | 2009-09-28 |
| 1497994149 | Nwanyieze Amajoh | Obstetrics & Gynecology | 16651 Southwest Fwy, Suite 200, Sugar Land, TX 77479-2345 | 2009-02-19 |
| 1013154384 | John Reynolds Boon | Urology | 16651 Southwest Fwy, Mob 1 Suite 310, Sugar Land, TX 77479-2345 | 2009-01-08 |
| 1770728826 | Houston Diagnostic Cath Lab Lp | Specialist | 16651 Southwest Fwy, Suite 250, Sugar Land, TX 77479-2345 | 2008-12-03 |
| 1023200623 | Diana M. Guerra | Anesthesiology | 16651 Southwest Fwy, Suite 450, Sugar Land, TX 77479-2345 | 2007-08-16 |
| 1831396639 | Preventive Medicine Institute Pa | Internal Medicine | 16651 Southwest Fwy, Suite 300, Sugar Land, TX 77479-2345 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578978 | Amir Azeem, Md, Pa | Internal Medicine | 5306 Clouds Creek Ln, Sugar Land, TX 77479-4940 | 2019-09-24 |
| 1174077598 | Nirp Sugar Land Pllc | Internal Medicine | 7616 Branford Pl Ste 140, Sugar Land, TX 77479-3794 | 2016-08-15 |
| 1124245121 | Heart & Vascular Association of Houston | Internal Medicine | 3030 Edgewater, Sugar Land, TX 77478-4438 | 2007-04-19 |
| 1184794141 | Srinivas G Nikam | Internal Medicine | 3533 Town Center Blvd S Ste 400, Sugar Land, TX 77479-1456 | 2006-11-08 |
| 1730260035 | Naim M Al-adli | Internal Medicine | 13020 Dairy Ashford Rd, Suite 100, Sugar Land, TX 77478-3151 | 2006-10-17 |
| 1841309341 | Chris Xiaoguang Chen | Internal Medicine | 1111 Highway 6 South, Suite 196, Sugar Land, TX 77478-4902 | 2006-08-29 |
| 1619080843 | Kesavan Shan | Internal Medicine | 16651 Southwest Freeway Mob1, Suite 450, Sugar Land, TX 77479 | 2006-08-15 |
| 1780696070 | Balasubramanian N. Aiyer | Internal Medicine | 2014 Vista Lake Ct, Sugar Land, TX 77478-4422 | 2006-08-13 |
| 1386674901 | Gregory Scott Pepper | Internal Medicine | 15200 Southwest Fwy Ste 290, Sugar Land, TX 77478-3866 | 2006-07-03 |
| 1336193309 | Ghassan J Alzaghrini | Internal Medicine | 1429 Highway 6 Ste 101, Sugar Land, TX 77478-5135 | 2006-05-22 |
| Find all providers in SUGAR LAND | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
Please comment or provide details below to improve the information on B KEITH ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.