Amarillo Colonoscopy Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008144 Issued in TX

Legal business name

AMARILLO COLONOSCOPY CENTER LP

Doing business as

Panhandle Endoscopy Center LP

Practice address

800 Quail Creek Drive
Suite 102
Amarillo, TX 79124-1634

Phone

(806) 367-8537

Fax

(806) 367-8538

NPI assigned

Jul 2, 2006

Last updated

Jan 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sambasiva Rao Marupudi, M.D.NPI 1629007414

Title

Administrator

Phone

(806) 367-8537

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Panhandle Endoscopy Center LP Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Amarillo Colonoscopy Center LPCCN 45C0001535

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sambasiva Rao Marupudi, MD

  • Colon & Rectal Surgery Physician
  • Amarillo, TX
  • NPI 1629007414
  Authorized official Same address or phone
• Kuldip Singh Banwait, M.D.

  • Gastroenterology Physician
  • Amarillo, TX
  • NPI 1699877670
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1083643852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 QUAIL CREEK DRIVE",
            "address_2": "SUITE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241634",
            "telephone_number": "806-367-8537",
            "fax_number": "806-367-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 QUAIL CREEK DRIVE",
            "address_2": "SUITE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241634",
            "telephone_number": "806-367-8537",
            "fax_number": "806-367-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO COLONOSCOPY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MARUPUDI",
        "authorized_official_first_name": "SAMBASIVA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-367-8537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH039A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETBA INS CO",
            "identifier": "07690690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00300440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panhandle Endoscopy Center LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amarillo Compounding Pharmacy
• Amarillo Cosmetic and Implant Center PLLC (Amarillo Aesthetics and Implant Center)
• Amarillo Council on Alcoholism & Drug Abuse
• Amarillo Counseling Associates
• Amarillo Counseling Associates

• Ambulatory Surgical Clinic/Center in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.