Active NPI
Ziad Al Amiri, MD
- Diagnostic Radiology Physician
- Athens, TX
National Provider Identifier
1376540070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- H1034
- Practice address
- 810 Lucas Dr
Athens, TX 75751-3446 - Phone
- (903) 675-6778
- Fax
- (903) 675-2333
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036101924 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | H1034 | TX | Primary |
Addresses
Primary practice location
810 Lucas Dr
Athens, TX 75751-3446
Mailing address
810 Lucas Dr
Athens, TX 75751-3446
Phone (903) 675-6778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361019241 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| H1034 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquette Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
| A R Imaging, S.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiology Clinic/Center
- Chicago, IL
- NPI 1609057926
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1427053552
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1376540070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 LUCAS DR",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513446",
"telephone_number": "903-675-6778",
"fax_number": "903-675-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 LUCAS DR",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513446",
"telephone_number": "903-675-6778",
"fax_number": "903-675-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL AMIRI",
"first_name": "ZIAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036101924",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "H1034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361019241",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.