Individual provider Active NPI

Amandeep Kaur, M.D

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lewisville, TX
National Provider Identifier
1740500289
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
P3739 Issued in TX
Practice address
401 N Valley Pkwy Ste 380
Lewisville, TX 75067-3472
Phone
(469) 904-6428
Fax
(469) 904-9427
NPI assigned
Jun 7, 2010
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P3739 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X P3739 TX Primary

Addresses

Primary practice location

401 N Valley Pkwy Ste 380
Lewisville, TX 75067-3472

Mailing address

PO Box 842861
Dallas, TX 75284-2861
Phone (832) 978-9721

Other identifiers 1

IdentifierTypeStateIssuer
P3739OtherTXMEDICAL LICENSE

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
I20140326000639 TX Practitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 0648423723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Undersea and Hyperbaric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renovo Wound and Hyperbarics PLLCGroup PAC ID 6002236379, 4 clinicians
Amandeep Kaur, M.D., P.a.Group PAC ID 0749542264, 3 clinicians

Practice addresses (Care Compare)

401 N Valley Pkwy
Suite 380
Lewisville, TX 75067-3472
Phone (469) 904-6428

4343 N Josey LN
Carrollton, TX 75010-4603
Phone (972) 394-2336

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue231
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3739TXMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renovo Wound and Hyperbarics PLLC Undersea and Hyperbaric Medicine CurrentSince Oct 1, 2020 Accepting new patients
St Vincent Infirmary Medical Center Past Accepting new patients

Locations

1001 W Arbrook Blvd
Ste 161
Arlington, TX 76015
Phone (817) 402-0952

5668 Edwards Ranch Rd
Ste 101
Fort Worth, TX 76109
Phone (817) 402-0952

401 N Valley Pkwy
Ste 380
Lewisville, TX 75067
Phone (469) 904-6428

Organizations & group practices 3

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 1

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1740500289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842861",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842861",
            "telephone_number": "832-978-9721",
            "fax_number": "469-904-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N VALLEY PKWY STE 380",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673472",
            "telephone_number": "469-904-6428",
            "fax_number": "469-904-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "AMANDEEP",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3739",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "P3739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "P3739",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.