Elisa Basora Rovira, MD
Pediatrics, Pediatric Pulmonology in Dallas, TX. Individual provider (NPI-1).
NPI number1396979639
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1396979639
- Entity type
- Individual (NPI-1)
- Name
- Elisa Basora Rovira
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2009
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0214X | Pediatrics, Pediatric Pulmonology | R1703 | TX | Yes |
| 208000000X | Pediatrics | R1703 | TX | |
| 2080S0012X | Pediatrics, Sleep Medicine | R1703 | TX | |
| 208D00000X | General Practice | 017516 | PR |
Practice location
2350 N. Stemmons Fwy (I-35)Dallas Ambulatory Care Pavillion
Dallas, TX 75207
Phone 214-456-4630 · Fax 214-456-5406
Mailing address
2140 Medical District Dr Apt 4069Dallas, TX 75235-8286
Phone 787-457-0657
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 23 Pediatric Pulmonology Physician providers in Dallas · All 47,373 providers in Dallas
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