Individual provider Active NPI

Meera Amar, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Waco, TX
National Provider Identifier
1689670184
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G2630 Issued in TX
Practice address
333 Londonderry Drive Suite # 200
Waco, TX 76712
Phone
(254) 751-9777
Fax
(254) 751-9988
NPI assigned
Jun 21, 2005
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G2630 TX Primary

Addresses

Primary practice location

333 Londonderry Drive Suite # 200
Waco, TX 76712

Mailing address

333 Londonderry Drive Suite # 200
Waco, TX 76712
Phone (254) 751-9777

Other identifiers 1

IdentifierTypeStateIssuer
097864501MedicaidTX

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
I20100902000313 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 5496643918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

333 Londonderry Dr
Suite 200
Waco, TX 76712-7930
Phone (254) 751-9777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G2630TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrine Center of Central Texas PA Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2010 Accepting new patients

Locations

333 Londonderry Dr
Ste 200
Waco, TX 76712
Phone (254) 751-9777

Organizations & group practices 1

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 3

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1689670184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DRIVE SUITE # 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-751-9777",
            "fax_number": "254-751-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DRIVE SUITE # 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-751-9777",
            "fax_number": "254-751-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAR",
        "first_name": "MEERA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "G2630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097864501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.