Individual provider Active NPI

Amber Sturges Fenton, MD

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1245437524
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q9809 Issued in TX
Practice address
11111 Research Blvd
Ste 220
Austin, TX 78759-5264
Phone
(512) 324-6755
Fax
(512) 324-6753
NPI assigned
Jun 29, 2007
Last updated
May 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1069533 IN
Ophthalmology Physician 207W00000X Q9809 TX Primary
Independent Medical Examiner Physician 202C00000X LL30107 SC

Addresses

Primary practice location

11111 Research Blvd
Ste 220
Austin, TX 78759-5264

Mailing address

11111 Research Blvd
Ste 220
Austin, TX 78759-5264
Phone (513) 324-6755

Other identifiers 1

IdentifierTypeStateIssuer
301079MedicaidSC

Other names 1

  • Amber Sturges Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019001581 TX Practitioner - Ophthalmology 6204094634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dell Childrens Medical GroupGroup PAC ID 8224092978, 117 clinicians

Practice addresses (Care Compare)

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL30107SCMDIndependent Medical Examiner Physician
1069533INMDOphthalmology Physician
Q9809TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Sep 1, 2016 Accepting new patients
Dell Children's Medical Group CurrentSince Sep 1, 2016 Accepting new patients
Strictly Pediatrics Surgery Center of Central Texas, LLC PastSince Dec 31, 2018 Accepting new patients
Carolina Eyecare Physicians LLC Ophthalmology PastSince Jul 15, 1999 Accepting new patients

Locations

11111 Research Blvd
Ste 220
Austin, TX 78759
Phone (512) 324-6755

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: amber.fenton.1@16041.direct.athenahealth.com
  • Direct secure messaging: amber.fenton.1@8363.direct.athenahealth.com

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 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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1245437524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD",
            "address_2": "STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595264",
            "telephone_number": "513-324-6755",
            "fax_number": "512-324-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD",
            "address_2": "STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595264",
            "telephone_number": "512-324-6755",
            "fax_number": "512-324-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "AMBER",
        "middle_name": "STURGES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "1069533",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q9809",
            "primary": true
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "SC",
            "license": "LL30107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301079",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "STURGES",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.