Active NPI
Angela Huang, MD
- Developmental - Behavioral Pediatrics Physician
- Amarillo, TX
National Provider Identifier
1639397193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- N3088
- Practice address
- 1400 S Coulter St
Amarillo, TX 79106-1786 - Phone
- (806) 414-9800
- Fax
- (806) 354-5689
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | LP00324 | RI | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | N3088 | TX | Primary |
Addresses
Primary practice location
1400 S Coulter St
Amarillo, TX 79106-1786
Mailing address
1400 Wallace Blvd
Amarillo, TX 79106-1708
Phone (806) 414-9800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193979504 | Medicaid | TX | |
| 200217180 A | Medicaid | OK | |
| 41883756 | Medicaid | NM | |
| 8L0046 | Other | TX | MEDICARE |
| 193979501 | Medicaid | TX | |
| 193979502 | Medicaid | TX | |
| 193979503 | Other | TX | MEDICAID - CSHCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 S Coulter St
Amarillo, TX 79106-1786
Phone (806) 414-9650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP00324 | RI | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Texas Tech Univeristy Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Past | Accepting new patients |
Locations
1400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 354-5585
1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600
Interoperability endpoints
- angelahuang@texastech.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1013942150
-
- Clinical Genetics (M.D.) Physician
- Lubbock, TX
- NPI 1457563744
-
- Surgery Physician
- Amarillo, TX
- NPI 1033144175
-
- Physical Therapist
- Amarillo, TX
- NPI 1679841134
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1639397193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WALLACE BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061708",
"telephone_number": "806-414-9800",
"fax_number": "806-354-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061786",
"telephone_number": "806-414-9800",
"fax_number": "806-354-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "ANGELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "RI",
"license": "LP00324",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "TX",
"license": "N3088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193979504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200217180 A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41883756",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8L0046",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193979501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193979502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - CSHCN",
"identifier": "193979503",
"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 Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.