Individual provider Active NPI

Amirsaeid Ghamary, FNP

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1548993769
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1086646 Issued in TX
Practice address
4220 Cartwright Rd Ste 703
Missouri City, TX 77459-5312
Phone
(281) 969-8777
Fax
(281) 408-4642
NPI assigned
Jul 5, 2022
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1086646 TX Primary

Addresses

Primary practice location

4220 Cartwright Rd Ste 703
Missouri City, TX 77459-5312

Mailing address

4220 Cartwright Rd Ste 703
Missouri City, TX 77459-5312
Phone (281) 969-8777

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
I20220909002175 TX Practitioner - Nurse Practitioner 6507241627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1086646TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mgab Med PLLC CurrentSince Nov 22, 2022 Accepting new patients

Locations

4220 Cartwright Rd
Ste 703
Missouri City, TX 77459
Phone (281) 969-8777

Organizations & group practices 1

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1548993769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 703",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595312",
            "telephone_number": "281-969-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 703",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595312",
            "telephone_number": "281-969-8777",
            "fax_number": "281-408-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAMARY",
        "first_name": "AMIRSAEID",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1086646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.