Organization Active NPI

Amanda a Trott, MD PA

  • Allergy Physician
  • San Antonio, TX
National Provider Identifier
1124399092
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
AMANDA A TROTT, MD PA
Practice address
255 E Sonterra Blvd Ste 209
San Antonio, TX 78258-4076
Phone
(210) 888-1297
Fax
(210) 888-1285
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Amanda A Trott-Gregorio, MDNPI 1568653756
Title
Physician/Owner
Phone
(210) 888-1297

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

255 E Sonterra Blvd Ste 209
San Antonio, TX 78258-4076

Mailing address

255 E Sonterra Blvd Ste 209
San Antonio, TX 78258-4076
Phone (210) 888-1297

Other names 1

  • Juniper Allergy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120910000476 TX Part B Supplier - Clinic/Group Practice 8022266444 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

255 E Sonterra Blvd
Ste 209
San Antonio, TX 78258
Phone (210) 888-1297

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1124399092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E SONTERRA BLVD STE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584076",
            "telephone_number": "210-888-1297",
            "fax_number": "210-888-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E SONTERRA BLVD STE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584076",
            "telephone_number": "210-888-1297",
            "fax_number": "210-888-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA A TROTT, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "TROTT-GREGORIO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "210-888-1297",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.