NPIMap

Individual provider Active NPI

Gordon Ramzan Niamatali, M.D

  • Anesthesiology Physician
  • Grand Island, NE
National Provider Identifier
1366520066
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H5015 Issued in TX
Practice address
2620 West Faidley
Grand Island, NE 68803
Phone
(308) 384-4600
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H5015 TX Primary

Addresses

Primary practice location

2620 West Faidley
Grand Island, NE 68803

Mailing address

1000 E Vermont Ave
Appt#5212
McAllen, TX 78503-1717
Phone (956) 249-9564

Other identifiers 2

IdentifierTypeStateIssuer
09251809MedicaidMS
1473502MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10233MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Healthcare Partners of Laredo, P. a. Anesthesiology Past Accepting new patients
Compass BDH, LLC Anesthesiology Past Accepting new patients
Parkview Health System Inc Anesthesiology Past Accepting new patients
Ac Provider Services of Texas LLC Anesthesiology Past Accepting new patients
Gulfport Anesthesia and Pain Treatment, PLLC Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1366520066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E VERMONT AVE",
            "address_2": "APPT#5212",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031717",
            "telephone_number": "956-249-9564",
            "fax_number": "308-398-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 WEST FAIDLEY",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68803",
            "telephone_number": "308-384-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAMATALI",
        "first_name": "GORDON",
        "middle_name": "RAMZAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H5015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09251809",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473502",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.