NPIMap

Individual provider Active NPI

Samuel L Pittman

  • Physician Assistant
  • Amarillo, TX
National Provider Identifier
1568820645
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
T0000 Issued in TX
Practice address
1901 Medi Park Dr Ste 2050
Amarillo, TX 79106-2109
Phone
(806) 355-3352
Fax
(806) 355-5367
NPI assigned
Feb 4, 2016
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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 T0000 TX Primary

Addresses

Primary practice location

1901 Medi Park Dr Ste 2050
Amarillo, TX 79106-2109

Mailing address

PO Box 3780
Amarillo, TX 79116-3780
Phone (806) 355-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001517 TX Practitioner - Physician Assistant 3577852011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Bone and Joint Clinic PLLCGroup PAC ID 6103978499, 17 clinicians

Practice addresses (Care Compare)

1100 S Coulter St
Amarillo, TX 79106-1836
Phone (806) 468-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.05 of 100Reported as group
Quality
27.83
Promoting interoperability
0
Improvement activities
10
Cost
59.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0000TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: spittman84502@ahs.direct-ci.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1568820645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3780",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791163780",
            "telephone_number": "806-355-3352",
            "fax_number": "806-355-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109",
            "telephone_number": "806-355-3352",
            "fax_number": "806-355-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "SAMUEL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "T0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.