Individual provider Active NPI

Amber Fatima Rizvi, PA

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1134770761
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13125 Issued in TX
Practice address
12586 Westheimer Rd
Houston, TX 77077-5865
Phone
(713) 804-5963
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13125 TX Primary

Addresses

Primary practice location

12586 Westheimer Rd
Houston, TX 77077-5865

Mailing address

12586 Westheimer Rd
Houston, TX 77077-5865

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108000871 TX Practitioner - Physician Assistant 2567897150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61634CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Sep 21, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Sep 21, 2021 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

3550 Swingle Rd
Houston, TX 77047
Phone (713) 547-1000

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

Interoperability endpoints

  • Direct secure messaging: amber.rizvi.p1@direct.scfhc.nextgenshare.com
  • Direct secure messaging: arizvi26310@innovista.gardenplot.direct-ci.com

Organizations & group practices 2

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1134770761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12586 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12586 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775865",
            "telephone_number": "713-804-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "AMBER",
        "middle_name": "FATIMA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.