Individual provider Active NPI

Amanda Lee Gorena, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1356501290
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
BP10032057 Issued in TX
Practice address
6565 Fannin St
Houston, TX 77030-2703
Phone
(713) 394-6450
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.207466 LA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X BP10032057 TX Primary

Addresses

Primary practice location

6565 Fannin St
Houston, TX 77030-2703

Mailing address

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 394-6450

Other identifiers 1

IdentifierTypeStateIssuer
2380036MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150205000576 LA Practitioner - Pathology 6002131570 Reassigns benefits to 1 organization
I20200106002142 TX Practitioner - Pathology 6002131570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Pathology Associates PLLCGroup PAC ID 4082625173, 82 clinicians

Practice addresses (Care Compare)

18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone (281) 333-5503

4401 Garth Rd
Baytown, TX 77521-2122
Phone (281) 420-8600

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 394-6450

Hospital & facility affiliations

  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207466LAMDAnatomic Pathology & Clinical Pathology Physician
BP10032057TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woman'S Specialty Clinic CurrentSince Feb 16, 2015 Accepting new patients
Methodist Pathology Associates PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 3, 2025 Accepting new patients
Methodist Pathology Associates PLLC Anatomic Pathology & Clinical Pathology CurrentSince Dec 2, 2019 Accepting new patients
Genetic Services of Louisiana Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

5339 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 766-4999

500 Rue de la Vie St
Ste 311
Baton Rouge, LA 70817
Phone (225) 216-3006

500 Rue de la Vie St
Ste 513
Baton Rouge, LA 70817
Phone (225) 767-1311

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

6565 Fannin St
Stop 205
Houston, TX 77030
Phone (713) 394-6450

6565 Fannin St
#B490
Houston, TX 77030
Phone (713) 441-3496

18300 Houston Methodist Dr
Houston, TX 77058
Phone (281) 206-9020

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 5

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 2

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1356501290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-394-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-394-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORENA",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.207466",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "BP10032057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380036",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.