Individual provider Active NPI

Amar Dodda, M.D.

  • Gastroenterology Physician
  • Tomball, TX
National Provider Identifier
1689940579
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R7441 Issued in TX
Practice address
506 Graham Dr Ste 100
Tomball, TX 77375-3348
Phone
(281) 351-6464
Fax
(281) 351-6476
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R7441 TX
Gastroenterology Physician 207RG0100X R7441 TX Primary

Addresses

Primary practice location

506 Graham Dr Ste 100
Tomball, TX 77375-3348

Mailing address

506 Graham Dr Ste 100
Tomball, TX 77375-3348
Phone (281) 351-6464

Other practice location 1

18220 State Highway 249 Ste 340
Houston, TX 77070-4348
Phone (281) 351-6464

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dodda.amar.011.0430051@GC.meditab.direct-ci.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180612001717 CA Practitioner - Gastroenterology 4688993215 Reassigns benefits to 2 organizations
I20190624001175 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 4688993215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Gastro Consultants PAGroup PAC ID 7315939485, 5 clinicians

Practice addresses (Care Compare)

506 Graham Dr
Suite 100
Tomball, TX 77375-3348
Phone (281) 351-6464

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy209
Upper gastrointestinal (GI) endoscopy for acid reflux688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7441TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC CurrentSince Sep 10, 2018 Accepting new patients
Texas Gastro Consultants, P.a. Gastroenterology CurrentSince Aug 1, 2019 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 22, 2018 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

18220 Tomball Pkwy
Ste 340
Houston, TX 77070
Phone (219) 628-3918

17189 I 45 S
Ste 265
Shenandoah, TX 77385
Phone (936) 647-1469

506 Graham Dr
Ste 100
Tomball, TX 77375
Phone (281) 351-6464

Interoperability endpoints

  • Direct secure messaging: adodda235790@directhoustonmethodist.org
  • Direct secure messaging: dodda.amar.011.0430051@gc.meditab.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1689940579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GRAHAM DR STE 100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753348",
            "telephone_number": "281-351-6464",
            "fax_number": "281-351-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GRAHAM DR STE 100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753348",
            "telephone_number": "281-351-6464",
            "fax_number": "281-351-6476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18220 State Highway 249 Ste 340",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770704348",
            "country_code": "US",
            "telephone_number": "281-351-6464",
            "fax_number": "281-351-6476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODDA",
        "first_name": "AMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "R7441",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R7441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dodda.amar.011.0430051@GC.meditab.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "HIE DIRECT",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "506 Graham Dr Ste 100",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773753348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.