Organization Active NPI

Amber Kazi MD PLLC

Doing business as Family Practice

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1558925032
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMBER KAZI MD PLLC
Doing business as
Family Practice
Practice address
17228 W Grand Pkwy S Ste 2010
Sugar Land, TX 77479-3688
Phone
(832) 816-8716
NPI assigned
Apr 30, 2019
Last updated
Apr 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Amber Kazi, MDNPI 1902195480
Title
Physician
Phone
(832) 816-8716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

17228 W Grand Pkwy S Ste 2010
Sugar Land, TX 77479-3688

Mailing address

5710 Sagamore Bay LN
Richmond, TX 77469-7398
Phone (832) 816-8716

Other identifiers 1

IdentifierTypeStateIssuer
P8375OtherTXTEXAS LICENSCE

Other names 1

  • FAMILY PRACTICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015000909 TX Part B Supplier - Clinic/Group Practice 6406187988 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory
Tax ID family
Amber Kazi MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17228 W Grand Pkwy S
Sugar Land, TX 77479
Phone (832) 841-4001

17228 W Grand Pkwy S
Ste 2010
Sugar Land, TX 77479
Phone (832) 816-8716

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1558925032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 SAGAMORE BAY LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774697398",
            "telephone_number": "832-816-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17228 W GRAND PKWY S STE 2010",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793688",
            "telephone_number": "832-816-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER KAZI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "KAZI",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-816-8716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSCE",
            "identifier": "P8375",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.