Amanda Gelman, MD
Individual provider Active NPI Internal Medicine Physician · Chinle, AZ
NPI 1003233990 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1003233990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 61172990 (WA)
- Practice address
- Highway 191 and Hospital Road
Chinle, AZ 86503-8000 - Phone
- (928) 674-7166
- Fax
- (928) 674-7705
- NPI assigned
- Mar 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Pittsburgh School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
Practice addresses (Care Compare)
Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030
PO Box PH
Chinle, AZ 86503-8000
Hospital & facility affiliations
- Chinle Comprehensive Health Care Facility
- Flagstaff Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.86 of 100
- Quality
- 61.32
- Improvement activities
- 40
- Cost
- 90.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, WA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170829002062 | TX | Practitioner - Internal Medicine | 1052537834 | Reassigns benefits to 1 organization |
| I20220131002449 | WA | Practitioner - Internal Medicine | 1052537834 | Reassigns benefits to 1 organization |
| I20220201001473 | OR | Practitioner - Internal Medicine | 1052537834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61172990 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Internal Medicine | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Internal Medicine | Current |
Accepting new patients |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current |
Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
19500 SE Stark St
Portland, OR 97233
Phone (503) 669-3900
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 61172990 | WA | Yes |
Addresses
Primary practice location
Highway 191 and Hospital Road
Chinle, AZ 86503-8000
Mailing address
PO Box PH
Chinle, AZ 86503-8000
Phone (928) 674-7166
Other providers in Chinle, AZ
- Edward B. Fields III
- Jennifer Y Fields
- Sheridan Mia Finnie
- William L. Flood
- Michael Lee From
- David Gibrael
- Benjamin H Glick
- Regina Gorman
- Susan R Graham
- Rachel Maria Gray
All providers in Chinle, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.