Active NPI
Niran Jan Amar, M.D.
- Allergy & Immunology Physician
- Waco, TX
National Provider Identifier
1003812595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G2305
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19715 | Other | SCOTT & WHITE | |
| 107463100 | Other | FIRST CARE | |
| 88290Y | Other | TX | BCBS |
| 030001522 | Other | TX | RAILROAD MEDICARE |
| 100242002 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Center PA | Current | Accepting new patients |
Locations
333 Londonderry Dr
Ste 100
Waco, TX 76712
Phone (254) 751-1114
Interoperability endpoints
- aacclinical@aactx.directbygreenway.com
- 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.
-
- Allergy Physician
- Waco, TX
- NPI 1124125117
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.