NPIMap

Individual provider Active NPI

Amneh Jamal Amro, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1457794869
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08313 Issued in TX
Practice address
6801 S Ih 35 Ste 1-E
Austin, TX 78744-4824
Phone
(512) 978-9960
Fax
(512) 901-9746
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08313 TX
Physician Assistant 363A00000X PA08313 TX Primary

Addresses

Primary practice location

6801 S Ih 35 Ste 1-E
Austin, TX 78744-4824

Mailing address

6801 S Ih 35
Suite 1-E
Austin, TX 78744-4824
Phone (512) 978-9960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000549 TX Practitioner - Physician Assistant 5597906958 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA08313TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center Physician Assistant CurrentSince Apr 13, 2018 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Apr 13, 2018 Accepting new patients
Family Care Center LLC, CurrentSince Oct 1, 2023 Accepting new patients
Revival Health Clinic Current Accepting new patients
Family Care Center, LLC Physician Assistant CurrentSince Oct 1, 2023 Accepting new patients
Texan Urgent Care PLLC PastSince May 1, 2012 Accepting new patients
Aco Jason Martin Medical Consulting PastSince Aug 3, 2025 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

Organizations & group practices 10

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1457794869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 S IH 35",
            "address_2": "SUITE 1-E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787444824",
            "telephone_number": "512-978-9960",
            "fax_number": "512-901-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 S IH 35 STE 1-E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787444824",
            "telephone_number": "512-978-9960",
            "fax_number": "512-901-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMRO",
        "first_name": "AMNEH",
        "middle_name": "JAMAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08313",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.