NPIMap

Individual provider Active NPI

Amanda Walton Basford, M.D.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1003834904
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M1496 Issued in TX
Practice address
6565 Fannin St
Fondren 270
Houston, TX 77030-2703
Phone
(713) 441-0006
Fax
(713) 790-2797
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M1496 TX Primary
Internal Medicine Physician 207R00000X M1496 TX

Addresses

Primary practice location

6565 Fannin St
Fondren 270
Houston, TX 77030-2703

Mailing address

6565 Fannin St
Fondren 270
Houston, TX 77030-2703
Phone (713) 441-0006

Other identifiers 6

IdentifierTypeStateIssuer
184374004MedicaidTX
P00947183OtherTXMEDICARE RR
TXB110289OtherMEDICARE PTAN
094010801MedicaidTX
1003834904OtherTXBLUE CROSS BLUE SHIELD
184374001MedicaidTX

Other names 1

  • Dr. Amanda Rhea Walton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000771 TX Practitioner - NephrologyPractitioner - Internal Medicine 2163428418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Baylor College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Specialists of North HoustonGroup PAC ID 8022202738, 8 clinicians

Practice addresses (Care Compare)

123 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (936) 273-0836

129 Vision Park Blvd
Suite 109
Shenandoah, TX 77384-3024
Phone (936) 273-0836

17200 St Luke's Way
The Woodlands, TX 77384-8007
Phone (936) 273-0836

2010 S Loop 336
Conroe, TX 77304-3312
Phone (936) 273-0836

27720A State Hwy 249
Tomball, TX 77375-6472
Phone (936) 273-0836

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 273-0836

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (936) 273-0836

9449 Grogans Mill Rd
Spring, TX 77380-3623
Phone (936) 273-0836

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.26 of 100Reported as group
Quality
93.92
Promoting interoperability
96
Improvement activities
40
Cost
63.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists of North Houston Nephrology CurrentSince Sep 1, 2010 Accepting new patients
Kidney Associates, PLLC Nephrology Past Accepting new patients
Conroe-Woodlands Gastroenterology, P.a. Past Accepting new patients
TMH Physician Associates PLLC Internal Medicine PastSince Jan 6, 2019 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients

Locations

500 Medical Center Blvd
Ste 280
Conroe, TX 77304

607 Timberdale Ln
Houston, TX 77090

129 Vision Park Blvd
Ste 109
Shenandoah, TX 77384
Phone (936) 321-2063

17198 St Lukes Way
Ste 620
The Woodlands, TX 77384

9449 Grogans Mill Rd
The Woodlands, TX 77380
Phone (281) 363-1262

Networks

  • TX HMO
  • TX HMO D-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
  • Direct secure messaging: amanda.basford.1@19285.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1003834904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST",
            "address_2": "FONDREN 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-441-0006",
            "fax_number": "713-790-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST",
            "address_2": "FONDREN 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-441-0006",
            "fax_number": "713-790-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASFORD",
        "first_name": "AMANDA",
        "middle_name": "WALTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1496",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184374004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00947183",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB110289",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094010801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1003834904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184374001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WALTON",
            "middle_name": "RHEA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.