Amanda Siewert Tchakarov, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

Q0190 Issued in TX

Practice address

1935 Medical District Dr
Dallas, TX 75235-7701

Phone

(214) 786-1249

NPI assigned

Jul 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Pathology

Education

University of Texas Medical School at Houston, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Texas Health Science Center at HoustonGroup PAC ID 8224936836, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• University of Texas Health Science Center at Houston

  dba UT Dept of Pathology

  • Clinical Pathology/Laboratory Medicine Physician
  • Houston, TX
  • NPI 1831142751

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment Care Compare group NPD
• The University of Texas Health Science Center at Houston

  dba Gulf States Pharmacy

  • Specialty Pharmacy
  • Houston, TX
  • NPI 1174710636
  NPD
• University Pathologists

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1518111236
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1720343965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL CENTER DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "214-786-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHAKAROV",
        "first_name": "AMANDA",
        "middle_name": "SIEWERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "Q0190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylormade Child & Family Solutions
• Tayyab Malik PLLC
• Katherine Tbaba, NP
• Tbowens LLC (Vestram Health)
• Tcer LLC
• Lea Tchato, NP
• Mario Cyriac Tchaya Tcheukado
• Kathryn Mary Tchorz, MD
• Tcosdi North Dallas, PLLC (Texas Wisdom Teeth)
• TD Anesthesia Services

• Anatomic Pathology & Clinical Pathology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.