Individual provider Active NPI

Ziad Al Amiri, MD

  • Diagnostic Radiology Physician
  • Athens, TX
National Provider Identifier
1376540070
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H1034 Issued in TX
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

Updated by the provider on May 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0361019241MedicaidIL

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
H1034TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.