Active NPI
Amanda Kit-Ling Tse, MD
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1083110639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S8780
- Practice address
- 3417 Gaston Ave Ste 1100
Dallas, TX 75246-2037 - Phone
- (469) 800-9000
- Fax
- (469) 800-9010
- NPI assigned
- Apr 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S8780 | TX | Primary |
Addresses
Primary practice location
3417 Gaston Ave Ste 1100
Dallas, TX 75246-2037
Mailing address
3417 Gaston Ave
Ste 1000
Dallas, TX 75246-2037
Phone (318) 626-0014
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | atse835486@direct.sw.org |
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
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3417 Gaston Ave
Suite 1000
Dallas, TX 75246-2037
Phone (469) 800-9000
Hospital & facility affiliations
- Texas Home Health Group of Desoto, LLC
- Baylor University Medical Center
- Baylor Scott and White Medical Center Lake Pointe
- Texas Health Presbyterian Hospital Dallas
- Baylor Scott & White Heart & Vascular Hospital - Dallas
- Baylor Scott & White Medical Center- Waxahachie
- Baylor Scott & White Institute for Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S8780 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Single Specialty | Current | Accepting new patients |
| Healthtexas Provider Network | Single Specialty | Current | Accepting new patients |
| Healthtexas Provider Network | Single Specialty | Current | Accepting new patients |
Locations
3417 Gaston Ave
Ste 1100
Dallas, TX 75246
Phone (469) 800-9000
3417 Gaston Ave
Ste 1000
Dallas, TX 75246
Phone (469) 800-9000
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
Interoperability endpoints
- atse835486@direct.sw.org
Organizations & group practices 3
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
-
- Home Health Agency
- De Soto, TX
- NPI 1316432180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1083110639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 GASTON AVE",
"address_2": "STE 1000",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462037",
"telephone_number": "318-626-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 GASTON AVE STE 1100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462037",
"telephone_number": "469-800-9000",
"fax_number": "469-800-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "AMANDA",
"middle_name": "KIT-LING",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "S8780",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "atse835486@direct.sw.org",
"affiliation": "N",
"address_1": "3417 Gaston Ave Ste 1000",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752462037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.