Individual provider Active NPI

Amanda Lequire, DO

  • Family Medicine Physician
  • Leander, TX
National Provider Identifier
1104287887
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S1442 Issued in TX
Practice address
651 N Highway 183 Ste 110
Leander, TX 78641-7002
Phone
(512) 528-0432
Fax
(512) 528-0452
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S1442 TX Primary

Addresses

Primary practice location

651 N Highway 183 Ste 110
Leander, TX 78641-7002

Mailing address

651 N Highway 183 Ste 110
Leander, TX 78641-7002
Phone (512) 528-0432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.lequire.1@1570.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190813003142 TX Practitioner - Family Practice 3577862937 Reassigns benefits to 1 organization
I20241028001422 NY Practitioner - Family Practice 3577862937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

55 E 34TH St
New York, NY 10016-4337
Phone (212) 252-6131

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Aug 1, 2019 Accepting new patients
Timberland Medical Group Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine Past Accepting new patients

Locations

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

15004 Avery Ranch Blvd
#10
Austin, TX 78717
Phone (512) 255-7070

450 Cypress Creek Rd
Bldg 5
Cedar Park, TX 78613
Phone (512) 249-1400

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

651 N Highway 183
Ste 110
Leander, TX 78641
Phone (512) 528-0432

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: amanda.lequire.1@1570.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104287887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N HIGHWAY 183 STE 110",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786417002",
            "telephone_number": "512-528-0432",
            "fax_number": "512-528-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N HIGHWAY 183 STE 110",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786417002",
            "telephone_number": "512-528-0432",
            "fax_number": "512-528-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEQUIRE",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2025-09-11",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S1442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.lequire.1@1570.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "651 N Highway 183 Ste 110",
            "city": "Leander",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786417002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

Verify at the official NPI Registry.