Individual provider Active NPI

Amit Guttigoli, MD

  • Cardiovascular Disease Physician
  • Duncanville, TX
National Provider Identifier
1760417026
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
49721 Issued in TX
Practice address
1018 E Wheatland Rd
Duncanville, TX 75116-4914
Phone
(469) 513-2666
Fax
(469) 513-2667
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 49721 TX Primary

Addresses

Primary practice location

1018 E Wheatland Rd
Duncanville, TX 75116-4914

Mailing address

8144 Walnut Hill LN Ste 450
Dallas, TX 75231-0906
Phone (469) 513-2666

Other identifiers 2

IdentifierTypeStateIssuer
8P5840OtherTNBCBS
P00243855OtherTXRAILROAD MEDICARE

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
I20041008000930 TX Practitioner - Cardiovascular Disease (Cardiology) 9830158385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Cardiovascular Care of Dallas, PLLCGroup PAC ID 5597046672, 7 clinicians

Practice addresses (Care Compare)

1018 E Wheatland Rd
Duncanville, TX 75116-4914
Phone (469) 513-2666

Hospital & facility affiliations

  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49721TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Center, LLC Current Accepting new patients
Premier Cardiovascular Care of Dallas, PLLC Cardiovascular Disease CurrentSince Oct 10, 2016 Accepting new patients
Trintiy Cath Lab LLC Current Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients

Locations

3650 W Wheatland Rd
Ste C
Dallas, TX 75237
Phone (214) 774-9771

8144 Walnut Hill Ln
Ste 450
Dallas, TX 75231
Phone (214) 346-0602

221 W Colorado Blvd
Ste 831
Dallas, TX 75208
Phone (214) 942-0091

3650 W Wheatland Rd
Ste 5
Dallas, TX 75237

221 W Colorado Blvd
Ste 945
Dallas, TX 75208
Phone (214) 775-1356

1018 E Wheatland Rd
Duncanville, TX 75116
Phone (214) 915-8967

2800 E Broad St
Ste 312
Mansfield, TX 76063
Phone (817) 467-1990

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 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1760417026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8144 WALNUT HILL LN STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310906",
            "telephone_number": "469-513-2666",
            "fax_number": "469-513-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 E WHEATLAND RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164914",
            "telephone_number": "469-513-2666",
            "fax_number": "469-513-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTIGOLI",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "49721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P5840",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00243855",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.