Active NPI
Amanda Chau, DO
- Family Medicine Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- U7654
- Practice address
- 605 S Conroe Medical Dr
Conroe, TX 77304-4722 - Phone
- (936) 539-4004
- Fax
- (936) 521-3964
- NPI assigned
- Apr 15, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10074824 | TX | |
| Family Medicine Physician | 207Q00000X | U7654 | TX | Primary |
Addresses
Primary practice location
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Mailing address
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240417002857 | TX | Practitioner - Family Practice | 6406255611 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Alabama College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lone Star Community Health Center, Inc
Practice addresses (Care Compare)
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004
Hospital & facility affiliations
- HCA Houston Healthcare Conroe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Lone Star Community Health Center, Inc. | Current | Accepting new patients | |
| Lone Star Community Health Center, Inc. | Family Medicine | Past | Accepting new patients |
| Lone Star Community Health Center, Inc. | Past | Accepting new patients | |
| Lone Star Community Health Center, Inc. | Family Medicine | Past | Accepting new patients |
| Lone Star Community Health Center, Inc. | Family Medicine | Past | Accepting new patients |
Locations
13905 Grangerland Rd
Conroe, TX 77306
605 S Conroe Medical Dr
Conroe, TX 77304
440 Rayford Rd
Ste 150
Spring, TX 77386
9516 FM 1097 Rd W
Ste 140
Willis, TX 77318
Phone (936) 436-5540
Interoperability endpoints
- amanda.chau.1@31617.direct.athenahealth.com
- amandachau@lsfhc.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Conroe, TX
- NPI 1568590610
Family Medicine, TX
-
- Federally Qualified Health Center (FQHC)
- Magnolia, TX
- NPI 1710857131
-
- Federally Qualified Health Center (FQHC)
- Willis, TX
- NPI 1013380708
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Conroe, TX
- NPI 1326045774
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Conroe, TX
- NPI 1679096358
-
- Federally Qualified Health Center (FQHC)
- Spring, TX
- NPI 1790115103
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Huntsville, TX
- NPI 1902442056
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1033790761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S CONROE MEDICAL DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773044722",
"telephone_number": "936-539-4004",
"fax_number": "936-539-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 S CONROE MEDICAL DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773044722",
"telephone_number": "936-539-4004",
"fax_number": "936-521-3964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAU",
"first_name": "AMANDA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-15",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10074824",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U7654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.