Diabetes & Endocrine Center of Central Texas PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

G2630 Issued in TX

Legal business name

DIABETES & ENDOCRINE CENTER OF CENTRAL TEXAS PA

Practice address

333 Londonderry Dr
Suite # 200
Waco, TX 76712-7900

Phone

(254) 751-9777

Fax

(254) 751-9788

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Meera Amar, M.D.NPI 1689670184

Title

President

Phone

(254) 751-9777

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Diabetes & Endocrine Center of Central Texas PA Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Meera Amar, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Waco, TX
  • NPI 1689670184
  Medicare reassignment NPD Authorized official
• Theresa Lynn Haddox, NURSE PRACTITIONER

  • Endocrinology, Diabetes & Metabolism Physician
  • Waco, TX
  • NPI 1477033868

  Single Specialty

  Medicare reassignment NPD
• Mary Esther Canava, NPC

  • Family Nurse Practitioner
  • Georgetown, TX
  • NPI 1760411144
  NPD (past)
• Sunny Gilliam, APRN, FNP-C

  • Family Nurse Practitioner
  • Waco, TX
  • NPI 1043947278
  NPD (past)
• Michelle I Nicoletti, DNP, RN, FNP-BC

  • Family Nurse Practitioner
  • Waco, TX
  • NPI 1881713428
  NPD (past)
• Leigh V. Spivey, ACNP

  • Nurse Practitioner
  • Waco, TX
  • NPI 1992716278
  NPD (past)
• Annie K Thomas, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Shenandoah, TX
  • NPI 1801892138
  NPD (past)
• Srinivas Bontha, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Marietta, GA
  • NPI 1770676405
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1760589782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DR",
            "address_2": "SUITE # 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127900",
            "telephone_number": "254-751-9777",
            "fax_number": "254-751-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DR",
            "address_2": "SUITE # 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127900",
            "telephone_number": "254-751-9777",
            "fax_number": "254-751-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES & ENDOCRINE CENTER OF CENTRAL TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "AMAR",
        "authorized_official_first_name": "MEERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-751-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "G2630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0086EH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA DIABETES & ENDOCRINE",
            "identifier": "45D0704873",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081085501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH8030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes & Endocrine Center of Central Texas PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacquelin Dawn Dewbre, DO
• Rachael Dewey, RBT
• DFW Medical Transportation (DFW Patient Transportation Services)
• Salima Dhanani
• DHC Opco- Waco, LLC (Ridgecrest Retirement & Healthcare Community)
• Diagnostic Health Centers of Texas, Limited Partnership (Diagnostic Health Waco)
• Saul Diaz Acevedo, PHARMD
• Melanie Noreen Diaz, DO
• Nituna Diana Diaz
• Mark Hansen Dickie, M.D.

• Endocrinology, Diabetes & Metabolism Physician in Waco, TX
• Providers in Waco, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.