NPIMap

Individual provider Active NPI

Amanda Christine Rivera-Begeman, D.O.

  • Anatomic Pathology Physician
  • Austin, TX
National Provider Identifier
1376675371
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
M4477 Issued in TX
Practice address
3445 Executive Center Drive
Suite 250
Austin, TX 78731-1678
Phone
(512) 579-4000
Fax
(512) 439-2814
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 14870 SD
Anatomic Pathology Physician 207ZP0101X M4477 TX Primary

Addresses

Primary practice location

3445 Executive Center Drive
Suite 250
Austin, TX 78731-1678

Mailing address

PO Box 5050
Sioux Falls, SD 57117-5050
Phone (605) 322-7216

Other practice location 1

1301 S Cliff Ave Ste 700
Sioux Falls, SD 57105
Phone (605) 322-7200

Other practice location 2

116 E 11th St Ste 204
Spencer, IA 51301
Phone (712) 262-3795

Other identifiers 1

IdentifierTypeStateIssuer
100512651MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD, IA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130326000290 TX Practitioner - Pathology 7517059355 Reassigns benefits to 1 organization
I20231218003884 SD Practitioner - Pathology 7517059355 Reassigns benefits to 1 organization
I20231227000730 IA Practitioner - Pathology 7517059355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Laboratory LTDGroup PAC ID 9234036310, 14 clinicians

Practice addresses (Care Compare)

1301 S Cliff Ave
Suite 700
Sioux Falls, SD 57105-1019
Phone (605) 322-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4764AZMDPediatric Dentist
M4477TXMDAnatomic Pathology Physician
14870SDMDAnatomic Pathology & Clinical Pathology Physician
1342NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Laboratory of Northwest Iowa LTD Anatomic Pathology & Clinical Pathology CurrentSince Jan 9, 2024 Accepting new patients
Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang Anatomic Pathology & Clinical Pathology CurrentSince Dec 31, 2012 Accepting new patients
Physicians Laboratory, LTD. Anatomic Pathology & Clinical Pathology CurrentSince Jan 9, 2024 Accepting new patients
Physicians Laboratory, LTD. Anatomic Pathology & Clinical Pathology CurrentSince Jan 9, 2024 Accepting new patients
Physicians Laboratory of Northwest Iowa LTD Anatomic Pathology & Clinical Pathology CurrentSince Jan 9, 2024 Accepting new patients

Locations

116 E 11th St
Ste 204
Spencer, IA 51301
Phone (712) 262-3795

1301 S Cliff Ave
Ste 700
Sioux Falls, SD 57105
Phone (605) 322-7200

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

3445 Executive Center Dr
Ste 250
Austin, TX 78731
Phone (512) 339-1275

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 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1376675371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5050",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175050",
            "telephone_number": "605-322-7216",
            "fax_number": "605-322-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 EXECUTIVE CENTER DRIVE",
            "address_2": "SUITE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311678",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S Cliff Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "57105",
            "country_code": "US",
            "telephone_number": "605-322-7200",
            "fax_number": "605-322-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 E 11th St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "IA",
            "postal_code": "51301",
            "country_code": "US",
            "telephone_number": "712-262-3795",
            "fax_number": "712-262-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-BEGEMAN",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SD",
            "license": "14870",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "M4477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512651",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.