Individual provider Active NPI

Amit Mori, M.D.

  • Gastroenterology Physician
  • Conroe, TX
National Provider Identifier
1053548891
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R6247 Issued in TX
Practice address
500 Medical Center Blvd Ste 235
Conroe, TX 77304-2800
Phone
(281) 698-7070
Fax
(480) 685-9922
NPI assigned
Jun 19, 2009
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X R6247 TX Primary
Gastroenterology Physician 207RG0100X 35.000289 OH
Gastroenterology Physician 207RG0100X 89081 SC
Gastroenterology Physician 207RG0100X 036169986 IL
Hospitalist Physician 208M00000X ME172226 FL

Addresses

Primary practice location

500 Medical Center Blvd Ste 235
Conroe, TX 77304-2800

Mailing address

PO Box 131661
Spring, TX 77393-1661
Phone (281) 698-7070

Other practice location 1

3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850
Phone (803) 434-8866

Other practice location 2

2376 Cypress Cir Ste 203
Conway, SC 29526-8994
Phone (843) 347-6038

Other practice location 3

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Other practice location 4

10600 Montgomery Rd Ste 300
Montgomery, OH 45242-4464
Phone (513) 794-5600

Other practice location 5

9800 S Healthpark Dr Ste 110
Fort Myers, FL 33908-3630
Phone (239) 343-6202

Other identifiers 3

IdentifierTypeStateIssuer
126253400MedicaidFL
Q0130OMedicaidSC
R6247OtherTXTEXAS STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, GA, SC, IL, FL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20120917000633 NC Practitioner - Internal Medicine 7719135706 Reassigns benefits to 1 organization
I20180821000630 TX Practitioner - Gastroenterology 7719135706 Reassigns benefits to 3 organizations
I20221130002357 GA Practitioner - Gastroenterology 7719135706 Reassigns benefits to 2 organizations
I20230206001270 SC Practitioner - Gastroenterology 7719135706 Reassigns benefits to 3 organizations
I20241223003246 IL Practitioner - Gastroenterology 7719135706 Reassigns benefits to 3 organizations
I20250326002999 FL Practitioner - HospitalistPractitioner - Gastroenterology 7719135706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

3 Richland Medical Park Dr
Suite 120
Columbia, SC 29203-6850
Phone (803) 434-8866

3 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 641-5803

500 Medical Ctr Blvd
Suite 235
Conroe, TX 77304-2800
Phone (281) 203-0864

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux176
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036169986ILMDGastroenterology Physician
35.000289OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
HSHS Prairie, Inc CurrentSince Sep 9, 2025 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Mar 23, 2025 Accepting new patients
South Georgia Medical Center Inc Current Accepting new patients
Carle Health Medical Group Gastroenterology CurrentSince Dec 18, 2024 Accepting new patients
South Georgia Medical Center Inc CurrentSince Nov 17, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jan 15, 2023 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 18, 2024 Accepting new patients
Sound Physicians of North Carolina, PLLC Hospitalist CurrentSince Feb 11, 2014 Accepting new patients
South Georgia Medical Center Inc CurrentSince Nov 17, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jan 15, 2023 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Mar 23, 2025 Accepting new patients
Lee Health System Inc CurrentSince Apr 1, 2025 Accepting new patients
McLeod Physician Associates II CurrentSince Dec 6, 2023 Accepting new patients
Wael Asi MD PA Gastroenterology CurrentSince Oct 15, 2019 Accepting new patients
HSHS Medical Group Inc CurrentSince Sep 9, 2025 Accepting new patients
McLeod Physician Associates II CurrentSince Dec 6, 2023 Accepting new patients
Lee Health System Inc CurrentSince Apr 1, 2025 Accepting new patients
HSHS Prairie, Inc Current Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

9800 S Healthpark Dr
Ste 110
Fort Myers, FL 33908
Phone (239) 344-2307

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

3 Saint Elizabeth Blvd
Shiloh, IL 62269
Phone (618) 233-6044

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

3 Richland Medical Park Dr
Ste 120
Columbia, SC 29203
Phone (803) 434-8866

401 E Cheves St
Ste 301
Florence, SC 29506
Phone (843) 777-7166

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1125 Cypress Station Dr
Ste E
Houston, TX 77090
Phone (281) 419-5818

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amori498235@ewd.direct.hshs.org
  • Direct secure messaging: amori633071@direct.ghs.myhfn.org
  • Direct secure messaging: amori835823@ahs.direct-ci.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1053548891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131661",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773931661",
            "telephone_number": "281-698-7070",
            "fax_number": "480-685-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD STE 235",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042800",
            "telephone_number": "281-698-7070",
            "fax_number": "480-685-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Richland Medical Park Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036850",
            "country_code": "US",
            "telephone_number": "803-434-8866",
            "fax_number": "803-933-3049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2376 Cypress Cir Ste 203",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268994",
            "country_code": "US",
            "telephone_number": "843-347-6038",
            "fax_number": "843-347-9808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265360",
            "country_code": "US",
            "telephone_number": "618-257-6220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10600 Montgomery Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452424464",
            "country_code": "US",
            "telephone_number": "513-794-5600",
            "fax_number": "513-281-1908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9800 S Healthpark Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083630",
            "country_code": "US",
            "telephone_number": "239-343-6202",
            "fax_number": "239-343-4159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORI",
        "first_name": "AMIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R6247",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.000289",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "89081",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036169986",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME172226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126253400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0130O",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "R6247",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.