Organization Active NPI

Allergy & Asthma Center PA

  • Allergy Physician
  • Waco, TX
National Provider Identifier
1124125117
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
G2305 Issued in TX
Legal business name
ALLERGY & ASTHMA CENTER PA
Practice address
333 Londonderry Dr
Suite # 100
Waco, TX 76712-7900
Phone
(254) 751-1144
Fax
(254) 751-1185
NPI assigned
Sep 20, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Niran Jan Amar II, M.D.NPI 1003812595
Title
President
Phone
(254) 751-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X G2305 TX Primary

Addresses

Primary practice location

333 Londonderry Dr
Suite # 100
Waco, TX 76712-7900

Mailing address

333 Londonderry Dr
Suite # 100
Waco, TX 76712-7900
Phone (254) 751-1144

Other identifiers 3

IdentifierTypeStateIssuer
DG3056OtherTXRAILROAD MEDICARE
0035EHOtherTXBCBS
081040002MedicaidTX

Other names 1

  • Allergy & Asthma Center, PA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051115000704 TX Part B Supplier - Clinic/Group Practice 6507885902 Receives reassigned benefits from 3 practitioners
Practice locations: Hillsboro, TX; Waco, TX; Mexia, TX; Gatesville, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1101467Allergy & Asthma Center, PA333 Londonderry Drive, Suite 100, Waco, TX 76712Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

1507 W Main St
#2
Gatesville, TX 76528
Phone (254) 248-3227

333 Londonderry Dr
Ste 100
Waco, TX 76712
Phone (254) 751-1114

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1124125117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DR",
            "address_2": "SUITE # 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127900",
            "telephone_number": "254-751-1144",
            "fax_number": "254-751-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DR",
            "address_2": "SUITE # 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127900",
            "telephone_number": "254-751-1144",
            "fax_number": "254-751-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "AMAR",
        "authorized_official_first_name": "NIRAN",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-751-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "G2305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3056",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0035EH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081040002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Center, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.