Active NPI
Aamer Wali Janjua, MD, PA
- Internal Medicine Physician
- Beaumont, TX
National Provider Identifier
1669674875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L8385
- Legal business name
- AAMER WALI JANJUA, MD, PA
- Practice address
- 2830 Calder St
Beaumont, TX 77702-1809 - Phone
- (409) 504-9972
- NPI assigned
- Jun 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aamer Wali Janjua, MD
- Title
- Medical Director
- Phone
- (409) 504-9972
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L8385 | TX | Primary |
Addresses
Primary practice location
2830 Calder St
Beaumont, TX 77702-1809
Mailing address
6345 Ellington LN
Beaumont, TX 77706-4045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071030000536 | TX | Part B Supplier - Clinic/Group Practice | 8729175278 |
Receives reassigned benefits from 1 practitioner Practice locations: Beaumont, TX |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1417399080
Member Of
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- New York, NY
- NPI 1952088676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669674875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6345 ELLINGTON LN",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777064045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 CALDER ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021809",
"telephone_number": "409-504-9972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AAMER WALI JANJUA, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JANJUA",
"authorized_official_first_name": "AAMER",
"authorized_official_middle_name": "WALI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "409-504-9972",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "L8385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.