Organization Active NPI

Dipika S Ambani MD PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1386843944
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M3857 Issued in TX
Legal business name
DIPIKA S AMBANI MD PLLC
Practice address
7400 Fannin St Ste 840
Houston, TX 77054-1934
Phone
(713) 272-7600
Fax
(713) 272-7650
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Dipika S Ambani, MDNPI 1306957923
Title
Owner/President
Phone
(713) 272-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X M3857 TX Primary

Addresses

Primary practice location

7400 Fannin St Ste 840
Houston, TX 77054-1934

Mailing address

7400 Fannin St Ste 840
Houston, TX 77054-1934
Phone (713) 272-7600

Other identifiers 1

IdentifierTypeStateIssuer
189798503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000375 TX Part B Supplier - Clinic/Group Practice 0648351379 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1079414Dipika S Ambani, MD, PLLC Dba Ambani Center for7400 Fannin St, Suite 840, Houston, TX 77054Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

7400 Fannin St
Ste 840
Houston, TX 77054
Phone (713) 272-7600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1386843944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST STE 840",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541934",
            "telephone_number": "713-272-7600",
            "fax_number": "713-272-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST STE 840",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541934",
            "telephone_number": "713-272-7600",
            "fax_number": "713-272-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPIKA S AMBANI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "AMBANI",
        "authorized_official_first_name": "DIPIKA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "713-272-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M3857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189798503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.