ELISA BASORA ROVIRA (MD) – Pediatric Pulmonology Physician, NPI 1396979639
Pediatric Pulmonology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
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Provider Addresses for ELISA BASORA ROVIRA (MD)
North Stemmons Freeway, Dallas, Dallas County, Texas, 75390, United States
DALLAS AMBULATORY CARE PAVILLION
DALLAS, TX 75207
Phone: (214) 456-4630
Fax: (214) 456-5406
Type: Location
2140 MEDICAL DISTRICT DR APT 4069
DALLAS, TX 752358286
Phone: (787) 457-0657
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: GENZYME CORPORATION ($22).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $22 |
| HARMONY BIOSCIENCES LLC | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200409002807 | I | Pediatric Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Diagnostic Radiology | TX | |
| Anesthesiology, Pain Management | FL | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| U R O L O G Y | TX | |
| - | TX | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
Reviews
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