FUNDIME ELMAZI (DO) – Obstetrics & Gynecology Physician, NPI 1962636761
Obstetrics & Gynecology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
Provider Addresses for FUNDIME ELMAZI (DO)
2740 N HWY 360
GRAND PRAIRIE, TX 750506403
Phone:
Type: Mailing
696 WHITE PLAINS RD
SCARSDALE, NY 105835028
Phone: (914) 723-7000
Fax: (914) 723-7002
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $591.
Total Amount is formed as General ($591) + Research ($0) + Ownership ($0) = $591.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Astellas Pharma US Inc ($157).
Total Amount
$591
General + Research + Ownership
Payments
29
Total payment records
General Amount
$591
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $157 |
| ABBVIE INC. | $145 |
| Sumitomo Pharma America, Inc. | $93 |
| MAYNE PHARMA COMMERCIAL LLC | $90 |
| Organon LLC | $47 |
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: 2019-01-29
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 |
|---|---|---|---|---|
| I20190129002971 | I | Obstetrics/Gynecology | NY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 15 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 22 | 22 | $0 |
Insurance plans in this area (ZIP 75050)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Internal Medicine | NY | |
| Medical Oncology | NY | |
| Internal Medicine | NY | |
| Internal Medicine | IL | |
| - | NY | |
| Nurse Practitioner | CT | |
| Internal Medicine | NY | |
| - | NY | |
| Endocrinology, Internal Medicine | PA |
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