Individual provider Active NPI

Zhila Khamisi Asl, P.A.

  • Physician Assistant
  • Amarillo, TX
National Provider Identifier
1194166850
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08532 Issued in TX
Practice address
4510 Bell St
Amarillo, TX 79109-5714
Phone
(806) 212-4835
Fax
(806) 212-0900
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX
Physician Assistant 363A00000X PA-923 AR
Physician Assistant 363A00000X PA08532 TX Primary

Addresses

Primary practice location

4510 Bell St
Amarillo, TX 79109-5714

Mailing address

4510 Bell St
Amarillo, TX 79109-5714
Phone (806) 212-4835

Other practice location 1

5500 Ellsworth Rd
Fort Smith, AR 72903-3222
Phone (479) 709-7295

Other practice location 2

6801 Phoenix Ave Ste 2
Fort Smith, AR 72903-5299
Phone (479) 384-5378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130925000363 TX Practitioner - Physician Assistant 3779727144 Reassigns benefits to 1 organization
I20200814001660 AR Practitioner - Physician Assistant 3779727144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

1000 S Coulter St
Suite 100
Amarillo, TX 79106-1781
Phone (806) 212-4701

1751 Wallace Blvd
Amarillo, TX 79106-1711
Phone (806) 359-4673

4510 Bell St
Amarillo, TX 79109-5714
Phone (806) 212-4835

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Physicians Group Inc CurrentSince Dec 25, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients
FMC Clinics, P.a. Physician Assistant Past Accepting new patients
Family Medicine Centers Lab L P Past Accepting new patients

Locations

4510 Bell St
Amarillo, TX 79109
Phone (806) 212-4835

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

3501 S Soncy Rd
Ste 150
Amarillo, TX 79119
Phone (806) 212-6353

Organizations & group practices 6

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.

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1194166850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 BELL ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095714",
            "telephone_number": "806-212-4835",
            "fax_number": "806-212-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 BELL ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095714",
            "telephone_number": "806-212-4835",
            "fax_number": "806-212-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Ellsworth Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033222",
            "country_code": "US",
            "telephone_number": "479-709-7295",
            "fax_number": "479-709-7296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 Phoenix Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035299",
            "country_code": "US",
            "telephone_number": "479-384-5378",
            "fax_number": "479-384-5379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAMISI ASL",
        "first_name": "ZHILA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-923",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.