Organization Active NPI

Kalil Al-Nassir, MD PA

  • Pulmonary Disease Physician
  • Amarillo, TX
National Provider Identifier
1740535764
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
KALIL AL-NASSIR, MD PA
Practice address
1901 Medi Park Dr Ste 1018
Amarillo, TX 79106-2107
Phone
(806) 677-2030
Fax
(806) 350-6494
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Dr. Kalil Al-Nassir, MDNPI 1639303829
Title
President
Phone
(806) 677-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1901 Medi Park Dr Ste 1018
Amarillo, TX 79106-2107

Mailing address

1901 Medi Park Dr Ste 1018
Amarillo, TX 79106-2107
Phone (806) 677-2030

Other identifiers 2

IdentifierTypeStateIssuer
P1443OtherTXTEXAS LICENSE
1639303829OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120824000705 TX Part B Supplier - Clinic/Group Practice 7012164155 Receives reassigned benefits from 2 practitioners
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

1901 Medi Park Dr
Ste 1018
Amarillo, TX 79106
Phone (806) 356-7172

2300 Highway 365
Ste 430
Nederland, TX 77627
Phone (409) 724-6053

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDIIDD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1740535764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 1018",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062107",
            "telephone_number": "806-677-2030",
            "fax_number": "806-350-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 1018",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062107",
            "telephone_number": "806-677-2030",
            "fax_number": "806-350-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIL AL-NASSIR, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "AL-NASSIR",
        "authorized_official_first_name": "KALIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-677-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "P1443",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639303829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.