Individual provider Active NPI

Nicola Siobhan Amoruso, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1699284075
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11530 Issued in TX
Practice address
950 Corbindale Rd Ste 300
Houston, TX 77024-2849
Phone
(713) 486-1700
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TEMP TX
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA11530 TX Primary

Addresses

Primary practice location

950 Corbindale Rd Ste 300
Houston, TX 77024-2849

Mailing address

6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-1700

Other practice location 1

10125 Katy Fwy Ste 100
Houston, TX 77024
Phone (713) 486-1700

Other names 1

  • Nicola Siobhan Looney Former name

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
I20190130002360 TX Practitioner - Physician Assistant 4486991353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-7000

6410 Fannin St
Houston, TX 77030-3005

950 Corbindale Rd
Suite 300
Houston, TX 77024-2849
Phone (713) 486-1700

Hospital & facility affiliations

  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA11530TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Physician Assistant CurrentSince Jan 3, 2019 Accepting new patients
Ut Physicians CurrentSince Jan 3, 2019 Accepting new patients

Locations

6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527

10125 Katy Fwy
Ste 100
Houston, TX 77024
Phone (713) 486-1700

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

950 Corbindale Rd
Ste 300
Houston, TX 77024
Phone (713) 486-1700

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1699284075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301526",
            "telephone_number": "713-486-1700",
            "fax_number": "713-467-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CORBINDALE RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242849",
            "telephone_number": "713-486-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10125 Katy Fwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77024",
            "country_code": "US",
            "telephone_number": "713-486-1700",
            "fax_number": "713-467-6682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMORUSO",
        "first_name": "NICOLA",
        "middle_name": "SIOBHAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "TEMP",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLA",
            "last_name": "LOONEY",
            "middle_name": "SIOBHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.