Active NPI
Imene Boumaza, M.D
- Critical Care Medicine (Internal Medicine) Physician
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- U9714
- Practice address
- 6700 W 9TH Ave
Amarillo, TX 79106-1701 - Phone
- (806) 358-0200
- Fax
- (806) 356-5590
- NPI assigned
- Mar 28, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 88108 | SC | |
| Pulmonary Disease Physician | 207RP1001X | U9714 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | U9714 | TX | Primary |
Addresses
Primary practice location
6700 W 9TH Ave
Amarillo, TX 79106-1701
Mailing address
6700 W 9TH Ave
Amarillo, TX 79106-1701
Phone (806) 358-0200
Other practice location 1
125 Professional Park Dr
Seneca, SC 29678-2558
Phone (864) 482-3000
Other practice location 2
506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-3000
Other practice location 3
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Other practice location 4
1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2129
6700 SW 9TH Ave
Amarillo, TX 79106-1701
Phone (806) 358-0200
Hospital & facility affiliations
- Bsa Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88108 | SC | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Bsa Amarillo Diagnostic Clinic Inc | Current | Accepting new patients | |
| Musc Community Physicians | Pulmonary Disease | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Critical Care Medicine | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Bsa Physicians Group Inc | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Bsa Physicians Group Inc | Current | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
125 Professional Park Dr
Seneca, SC 29678
Phone (864) 482-3000
1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
6700 W 9th Ave
Amarillo, TX 79106
Phone (806) 358-0200
Interoperability endpoints
- iboumaza474369@direct.musc.edu
- iboumaza23386@directmcleodehealth.org
- iboumaza822840@direct.ghs.myhfn.org
- iboumaza962450@ahs.direct-ci.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1134559826
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1457696916
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Critical Care Medicine
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1144668765
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1407191984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1093109993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 W 9TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061701",
"telephone_number": "806-358-0200",
"fax_number": "806-356-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 W 9TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061701",
"telephone_number": "806-358-0200",
"fax_number": "806-356-5590"
}
],
"practiceLocations": [
{
"address_1": "125 Professional Park Dr",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "SC",
"postal_code": "296782558",
"country_code": "US",
"telephone_number": "864-482-3000",
"fax_number": "864-482-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "506 6th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112153609",
"country_code": "US",
"telephone_number": "718-780-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 E Cheves St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295062617",
"country_code": "US",
"telephone_number": "843-777-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Wallace Blvd",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791061799",
"country_code": "US",
"telephone_number": "806-212-2129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUMAZA",
"first_name": "IMENE",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-28",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "SC",
"license": "88108",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "U9714",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "U9714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.