Individual provider Active NPI

Amanda Marie Gigliotti, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1487149894
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12097 Issued in TX
Practice address
1004 W 32ND St Ste 400
Austin, TX 78705-1915
Phone
(512) 454-5171
Fax
(512) 454-0704
NPI assigned
Jun 27, 2018
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 PA12097 TX Primary

Addresses

Primary practice location

1004 W 32ND St Ste 400
Austin, TX 78705-1915

Mailing address

1004 W 32ND St Ste 400
Austin, TX 78705-1915
Phone (512) 454-5171

Other practice location 1

4515 Seton Center Pkwy Ste 175
Austin, TX 78759-5730
Phone (512) 382-1933

Other identifiers 1

IdentifierTypeStateIssuer
PA12097OtherTXSTATE LICENSE

Other names 1

  • Amanda Marie Hamala Former name

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
I20210517001995 TX Practitioner - Physician Assistant 4587073812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Medical Clinic, LLPGroup PAC ID 0648281972, 18 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
Suite 400
Austin, TX 78705-1914
Phone (512) 454-5171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Clinic Medical Group, PLLC Past Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1487149894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-454-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-454-5171",
            "fax_number": "512-454-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Seton Center Pkwy Ste 175",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595730",
            "country_code": "US",
            "telephone_number": "512-382-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIGLIOTTI",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA12097",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HAMALA",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.