Active NPI
Nibras Talib Mamury
- Physical Medicine & Rehabilitation Physician
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- T2990
- Practice address
- 1215 S Coulter St Ste 403
Amarillo, TX 79106-1769 - Phone
- (806) 358-8331
- Fax
- (806) 356-0045
- NPI assigned
- Apr 12, 2018
- Last updated
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T2990 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | T2990 | TX | Primary |
Addresses
Primary practice location
1215 S Coulter St Ste 403
Amarillo, TX 79106-1769
Mailing address
1215 S Coulter St Ste 400
Amarillo, TX 79106-1769
Phone (806) 358-8331
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 S Coulter St
Northwest Texas Heatlhcare System
Amarillo, TX 79106-1770
Phone (806) 354-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adnan Medical Services PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Northwest Texas Healthcare System Inc | Past | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150
7200 W 9th Ave
Amarillo, TX 79106
Phone (806) 468-2900
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1073166914
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
dba Northwest Texas Healthcare System
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Texas Healthcare System
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1770080921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 S COULTER ST STE 400",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061769",
"telephone_number": "806-358-8331",
"fax_number": "806-356-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S COULTER ST STE 403",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061769",
"telephone_number": "806-358-8331",
"fax_number": "806-356-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALIB MAMURY",
"first_name": "NIBRAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-12",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T2990",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "T2990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
- Taf Group, LLC (Professional Addiction Specialty Services)
- Taf Group, LLC (Professional Counseling & Biofeedback Center)
- Bernhard Tagwerker, M.D.
- Aisha Tahbib, MD
- Nicholas Saffar Tahmassi, MD
- Talk Business Online, LLP
- Sheree H Talkington, OTR
- Brent Talley, FNP-C
- Louise Joseph Tan Jr., M.D.
- Gabrielle Gloria Tardieu, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.