Organization Active NPI

Amba Consultants Inc.

  • Clinic/Center
  • Council Bluffs, IA
National Provider Identifier
1568417459
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AMBA CONSULTANTS INC.
Practice address
800 Mercy Dr
Suite 120
Council Bluffs, IA 51503-3128
Phone
(712) 388-2770
Fax
(712) 388-2771
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Vikrant Salaria, M.D.NPI 1043211493
Title
Director
Phone
(712) 388-2770

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

800 Mercy Dr
Suite 120
Council Bluffs, IA 51503-3128

Mailing address

800 Mercy Dr
Suite 120
Council Bluffs, IA 51503-3128
Phone (712) 388-2770

Other practice location 1

3213 S 24th St Ste 101
Omaha, NE 68108-1832
Phone (402) 916-4130

Other practice location 2

1720 N 16th St Ste F
Council Bluffs, IA 51501-0109
Phone (712) 256-8885

Other identifiers 1

IdentifierTypeStateIssuer
0727479MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050428001172 IA Part B Supplier - Clinic/Group Practice 4284673203 Receives reassigned benefits from 3 practitioners
Practice locations: Council Bluffs, IA
O20180216000779 NE Part B Supplier - Clinic/Group Practice 4284673203 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

801 Harmony St
Ste 401
Council Bluffs, IA 51503
Phone (402) 399-9990

1720 N 16th St
Council Bluffs, IA 51501

800 Mercy Dr
#120
Council Bluffs, IA 51503
Phone (712) 388-2770

1720 N 16th St
Ste F
Council Bluffs, IA 51501
Phone (712) 256-8885

3213 S 24th St
Ste 101
Omaha, NE 68108
Phone (402) 916-4130

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1568417459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "address_2": "SUITE 120",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "712-388-2770",
            "fax_number": "712-388-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "address_2": "SUITE 120",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "712-388-2770",
            "fax_number": "712-388-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3213 S 24th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681081832",
            "country_code": "US",
            "telephone_number": "402-916-4130",
            "fax_number": "402-916-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 N 16th St Ste F",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515010109",
            "country_code": "US",
            "telephone_number": "712-256-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBA CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SALARIA",
        "authorized_official_first_name": "VIKRANT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "712-388-2770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0727479",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.