Individual provider Active NPI

Niran Jan Amar, M.D.

  • Allergy & Immunology Physician
  • Waco, TX
National Provider Identifier
1003812595
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G2305 Issued in TX
Practice address
333 Londonderry Dr
Ste 100
Waco, TX 76712-7930
Phone
(254) 751-1144
Fax
(254) 751-1185
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X G2305 TX
Allergy & Immunology Physician 207K00000X G2305 TX Primary

Addresses

Primary practice location

333 Londonderry Dr
Ste 100
Waco, TX 76712-7930

Mailing address

333 Londonderry Drive Suite # 100
Waco, TX 76712
Phone (254) 751-1144

Other identifiers 5

IdentifierTypeStateIssuer
19715OtherSCOTT & WHITE
107463100OtherFIRST CARE
88290YOtherTXBCBS
030001522OtherTXRAILROAD MEDICARE
100242002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913001019 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4486665163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Center PAGroup PAC ID 6507885902, 3 clinicians

Practice addresses (Care Compare)

333 Londonderry Dr
Suite 100
Waco, TX 76712-7930
Phone (254) 751-1114

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center PA CurrentSince Apr 15, 2000 Accepting new patients

Locations

333 Londonderry Dr
Ste 100
Waco, TX 76712
Phone (254) 751-1114

Interoperability endpoints

  • Direct secure messaging: aacclinical@aactx.directbygreenway.com
  • Direct secure messaging: namar62692@direct.sw.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1003812595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DRIVE SUITE # 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-751-1144",
            "fax_number": "254-751-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DR",
            "address_2": "STE 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127930",
            "telephone_number": "254-751-1144",
            "fax_number": "254-751-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAR",
        "first_name": "NIRAN",
        "middle_name": "JAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "TX",
            "license": "G2305",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "G2305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "19715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "107463100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88290Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030001522",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100242002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.