Individual provider Active NPI

Moath J Amro, MD

  • Emergency Medicine Physician
  • Kingwood, TX
National Provider Identifier
1558620542
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q2638 Issued in TX
Practice address
2158 Northpark Dr
Kingwood, TX 77339-1745
Phone
(713) 909-7997
Fax
(832) 995-0415
NPI assigned
May 10, 2012
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q2638 TX Primary

Addresses

Primary practice location

2158 Northpark Dr
Kingwood, TX 77339-1745

Mailing address

740 W 24TH St
Houston, TX 77008-1736
Phone (713) 568-6344

Other practice location 1

740 W 24th St
Houston, TX 77008
Phone (713) 568-6344

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL Moath.amro@kingwooder.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q2638TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silverlake ER LLC Current Accepting new patients
Kingwood ER LLC Current Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

2158 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-9020

Organizations & group practices 4

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": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1558620542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W 24TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081736",
            "telephone_number": "713-568-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHPARK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391745",
            "telephone_number": "713-909-7997",
            "fax_number": "832-995-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 W 24th St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77008",
            "country_code": "US",
            "telephone_number": "713-568-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMRO",
        "first_name": "MOATH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q2638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Moath.amro@kingwooder.com",
            "affiliation": "N",
            "endpointDescription": "Kingwood ER email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2158 Northpark Dr",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773391745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.