Individual provider Active NPI

Amy D. Ciborowski, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1669489704
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G4983 Issued in TX
Practice address
20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone
(713) 798-3111
Fax
(713) 798-7999
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X G4983 TX
Internal Medicine Physician 207R00000X G4983 TX Primary

Addresses

Primary practice location

20171 Chasewood Park Dr
Houston, TX 77070-1437

Mailing address

1 Baylor PLZ Ste N
Houston, TX 77030-3411
Phone (713) 798-3111

Other identifiers 1

IdentifierTypeStateIssuer
121368801MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000573 TX Practitioner - Internal MedicinePractitioner - Hospitalist 7012045677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Internal Medicine CurrentSince Mar 17, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Mar 17, 2020 Accepting new patients
Amy D. Ciborowski, MD,PA Internal Medicine Past Accepting new patients

Locations

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1669489704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ STE N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-3111",
            "fax_number": "713-798-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20171 CHASEWOOD PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701437",
            "telephone_number": "713-798-3111",
            "fax_number": "713-798-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIBOROWSKI",
        "first_name": "AMY",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "G4983",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G4983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121368801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.