| Elevare Physician Services PLLC | |
|
3100 Peters Colony Rd Flower Mound TX 75022-2949 | |
| (412) 862-7340 | |
| Not Available |
| Full Name | Elevare Physician Services PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3100 Peters Colony Rd, Flower Mound, Texas |
| Authorized Official Name and Position | Deepti Chitta (SOLE OWNER/AUTHORIZED OFFICIAL/MD) |
| Authorized Official Contact | 6822371546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevare Physician Services PLLC 2451 W Grapevine Mills Cir # 501 Grapevine TX 76051-2096 Ph: (214) 898-5959 | Elevare Physician Services PLLC 3100 Peters Colony Rd Flower Mound TX 75022-2949 Ph: (412) 862-7340 |
| NPI Number | 1710854609 |
|---|---|
| Provider Enumeration Date | 10/23/2025 |
| Last Update Date | 09/08/2026 |
| Certification Date | 09/08/2026 |
| Medicare PECOS PAC ID | 8325539612 |
|---|---|
| Medicare Enrollment ID | O20251114001190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710854609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Deepti Chitta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265672992 PECOS PAC ID: 7416137385 Enrollment ID: I20160316001409 |
| Provider Name | Bamikole Olowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679040653 PECOS PAC ID: 6305269366 Enrollment ID: I20200709000293 |
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