Active NPI
Nazre Mawla, M.D.
- Surgery Physician
- Amarillo, TX
National Provider Identifier
1578747663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G1103
- Practice address
- 1215 S Coulter St
Suite 201
Amarillo, TX 79106-1758 - Phone
- (806) 358-1671
- Fax
- (806) 358-0168
- NPI assigned
- Dec 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G1103 | TX | Primary |
Addresses
Primary practice location
1215 S Coulter St
Suite 201
Amarillo, TX 79106-1758
Mailing address
1215 S Coulter St
Suite 201
Amarillo, TX 79106-1758
Phone (806) 358-1671
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AG47 | Other | TX | BLUE CROSS BLUE SHIELD |
| 118791100 | Other | TX | FIRSTCARE |
| P00626239 | Other | TX | RR MEDICARE |
| 113985903 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1578747663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 S COULTER ST",
"address_2": "SUITE 201",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061758",
"telephone_number": "806-358-1671",
"fax_number": "806-358-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S COULTER ST",
"address_2": "SUITE 201",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061758",
"telephone_number": "806-358-1671",
"fax_number": "806-358-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAWLA",
"first_name": "NAZRE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-25",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G1103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00AG47",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "118791100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00626239",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113985903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.