Individual provider Active NPI

Amanda Pajouh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Corsicana, TX
National Provider Identifier
1104350669
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3035 Issued in TX
Practice address
3229 W 7TH Ave
Corsicana, TX 75110-4817
Phone
(903) 872-9910
Fax
(855) 874-7393
NPI assigned
Apr 11, 2017
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3035 TX Primary

Addresses

Primary practice location

3229 W 7TH Ave
Corsicana, TX 75110-4817

Mailing address

3229 W 7TH Ave
Corsicana, TX 75110-4817
Phone (903) 872-9910

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211004002839 TX Practitioner - Podiatry 0042571333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1505 W Jefferson St
Suite 170
Waxahachie, TX 75165-2203
Phone (972) 597-4132

5940 W Parker Rd
Suite 202
Plano, TX 75093-6404
Phone (972) 781-1970

601 S Clay St
Suite 105
Ennis, TX 75119-5771
Phone (903) 875-3368

801 N Zang Blvd
Suite 103
Dallas, TX 75208-4858
Phone (214) 330-9299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue404
Removal or shaving of skin growth118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Medical Partners of Texas, PA Foot & Ankle Surgery CurrentSince Aug 9, 2021 Accepting new patients
Podiatric Medical Partners of Texas, PA CurrentSince Aug 9, 2021 Accepting new patients
Dermone Dermatology Associates of Texas PA Past Accepting new patients

Locations

2625 Matlock Rd
Ste 103
Arlington, TX 76015
Phone (817) 466-8514

3229 W 7th Ave
Corsicana, TX 75110
Phone (903) 872-9910

2909 S Hampton Rd
Ste F132
Dallas, TX 75224
Phone (214) 330-9299

6760 Abrams Rd
Ste 203
Dallas, TX 75231
Phone (214) 340-8885

601 S Clay St
Ste 105
Ennis, TX 75119
Phone (903) 875-3368

5940 W Parker Rd
Ste 202
Plano, TX 75093
Phone (972) 781-1970

6900 Denton Hwy
Ste 111
Watauga, TX 76148
Phone (817) 427-2823

1505 W Jefferson St
Ste 170
Waxahachie, TX 75165
Phone (972) 597-4132

Interoperability endpoints

  • Direct secure messaging: apajouh110188@direct.phhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1104350669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104817",
            "telephone_number": "903-872-9910",
            "fax_number": "855-874-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104817",
            "telephone_number": "903-872-9910",
            "fax_number": "855-874-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJOUH",
        "first_name": "AMANDA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.