Individual provider Active NPI

Fatema Amiji, PA

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1639549330
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10059 Issued in TX
Practice address
15881 FM 529 Rd Ste a
Houston, TX 77095-2423
Phone
(346) 646-4218
NPI assigned
Oct 7, 2015
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 PA10059 TX Primary

Addresses

Primary practice location

15881 FM 529 Rd Ste a
Houston, TX 77095-2423

Mailing address

15881 FM 529 Rd Ste a
Houston, TX 77095-2423
Phone (346) 646-4218

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312002205 TX Practitioner - Physician Assistant 7810259728 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
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

4650 Westway Park Blvd
Houston, TX 77041-2006
Phone (713) 461-2915

9055 Katy Fwy
Suite 100
Houston, TX 77024-1617
Phone (346) 646-4954

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10059TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince Jul 12, 2021 Accepting new patients

Locations

14317 Cypress Rosehill Rd
Cypress, TX 77429
Phone (346) 646-3619

15881 FM 529 Rd
Houston, TX 77095
Phone (346) 646-4218

15881 FM 529 Rd
Ste A
Houston, TX 77095
Phone (346) 646-4218

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

Interoperability endpoints

  • Direct secure messaging: fatema.amiji.1@13711.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1639549330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15881 FM 529 RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952423",
            "telephone_number": "346-646-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15881 FM 529 RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952423",
            "telephone_number": "346-646-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIJI",
        "first_name": "FATEMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.