Individual provider Active NPI

Ahmad Amirdash

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1235509571
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP129602 Issued in TX
Practice address
2646 S Loop W Ste 330
Houston, TX 77054-2773
Phone
(281) 888-4407
Fax
(832) 604-4285
NPI assigned
Sep 29, 2015
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP129602 TX Primary
Registered Nurse 163W00000X 794504 TX

Addresses

Primary practice location

2646 S Loop W Ste 330
Houston, TX 77054-2773

Mailing address

5827 S Braeswood Blvd
Houston, TX 77096-3909
Phone (281) 888-4407

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
I20160822002229 TX Practitioner - Nurse Practitioner 3971898594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Practice House Calls LLCGroup PAC ID 0648600585, 5 clinicians

Practice addresses (Care Compare)

2646 S Loop W
Suite 330
Houston, TX 77054-2773
Phone (281) 888-4407

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
794504TXMDRegistered Nurse
AP129602TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Procenture Medical Services LLC CurrentSince Dec 13, 2018 Accepting new patients
Advanced Practice House Calls LLC Acute Care CurrentSince Mar 1, 2020 Accepting new patients
Sigma Health PC Past Accepting new patients
Advance Pharmacy LLC PastSince Mar 1, 2020 Accepting new patients

Locations

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

Organizations & group practices 4

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 3

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1235509571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770963909",
            "telephone_number": "281-888-4407",
            "fax_number": "832-604-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542773",
            "telephone_number": "281-888-4407",
            "fax_number": "832-604-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRDASH",
        "first_name": "AHMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP129602",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "794504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.