Panhandle Gastroenterology, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

M4993 Issued in TX

Legal business name

PANHANDLE GASTROENTEROLOGY, PA

Practice address

800 Quail Creek Dr
Suite 101
Amarillo, TX 79124-1634

Phone

(806) 354-9400

Fax

(806) 354-9403

NPI assigned

Jan 24, 2008

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kuldip S Banwait, MDNPI 1699877670

Title

Ceo

Phone

(806) 354-9400

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kuldip Singh Banwait, M.D.

  • Gastroenterology Physician
  • Amarillo, TX
  • NPI 1699877670
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Christine Lozano, RN,MSN,FNP-C

  • Nurse Practitioner
  • Amarillo, TX
  • NPI 1629364435
  Medicare reassignment Care Compare group NPD
• Caroline Triana Lupercio, FNP-C

  • Nurse Practitioner
  • Amarillo, TX
  • NPI 1750043626
  Medicare reassignment Care Compare group NPD
• Christopher Walden Jones, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Arlington, TX
  • NPI 1346538139
  Medicare reassignment

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1437336211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50537",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590537",
            "telephone_number": "806-354-9400",
            "fax_number": "806-354-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 QUAIL CREEK DR",
            "address_2": "SUITE 101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241634",
            "telephone_number": "806-354-9400",
            "fax_number": "806-354-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE GASTROENTEROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BANWAIT",
        "authorized_official_first_name": "KULDIP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-354-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M4993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP BILLING NUMBER",
            "identifier": "00Y904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184296503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "7830853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JO WYATT CLINIC MEDICARE NUMBER",
            "identifier": "8J2689",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER GROUP NO.",
            "identifier": "0031QW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN1508",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "8AW200",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN PERMIT",
            "identifier": "M4993",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "00149690",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP BILLING NUMBER",
            "identifier": "197441201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.