Individual provider Active NPI

Amber Durani, PA-C

  • Physician Assistant
  • Hickory Creek, TX
National Provider Identifier
1457726531
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10302 Issued in TX
Practice address
3600 FM 2181 Ste 100
Hickory Creek, TX 75065-7636
Phone
(940) 498-4422
Fax
(940) 321-1045
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10302 TX Primary

Addresses

Primary practice location

3600 FM 2181 Ste 100
Hickory Creek, TX 75065-7636

Mailing address

3600 FM 2181 Ste 100
Hickory Creek, TX 75065-7636
Phone (940) 498-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110000719 TX Practitioner - Physician Assistant 6002197845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Oct 1, 2016 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2016 Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3600 FM 2181
Ste 100
Hickory Creek, TX 75065
Phone (940) 497-2204

Organizations & group practices 3

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1457726531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FM 2181 STE 100",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750657636",
            "telephone_number": "940-498-4422",
            "fax_number": "940-321-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FM 2181 STE 100",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750657636",
            "telephone_number": "940-498-4422",
            "fax_number": "940-321-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANI",
        "first_name": "AMBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Creek, TX

Sources for this page

Verify at the official NPI Registry.