Individual provider Active NPI

Amalia Isabel Mora Campuzano, MD

  • Family Medicine Physician
  • Donna, TX
National Provider Identifier
1770105819
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U6023 Issued in TX
Practice address
307 N D Salinas Ave Ste D
Donna, TX 78537-2929
Phone
(956) 464-2402
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U6023 TX Primary

Addresses

Primary practice location

307 N D Salinas Ave Ste D
Donna, TX 78537-2929

Mailing address

3908 Water Lily Ave
McAllen, TX 78504-6568
Phone (956) 278-9960

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
I20231108003693 TX Practitioner - Family Practice 5698122844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna Medical Clinic, PLLCGroup PAC ID 1153216734, 35 clinicians

Practice addresses (Care Compare)

307 N D Salinas Blvd
Donna, TX 78537-2929
Phone (956) 464-2402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U6023TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Medical Clinic, PLLC Family Medicine CurrentSince Aug 9, 2023 Accepting new patients

Locations

307 N Salinas Blvd
Ste D
Donna, TX 78537
Phone (956) 464-2402

307 N Salinas Blvd
Donna, TX 78537
Phone (956) 464-2402

2010 E Business Highway 83
Donna, TX 78537
Phone (956) 461-6666

909 Business Park Dr
Ste 6
Mission, TX 78572
Phone (956) 240-4402

646 S Expressway 77
Raymondville, TX 78580
Phone (956) 690-4012

909 S Airport Dr
Weslaco, TX 78596
Phone (956) 968-0560

Organizations & group practices 1

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 2

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1770105819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 WATER LILY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046568",
            "telephone_number": "956-278-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N D SALINAS AVE STE D",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372929",
            "telephone_number": "956-464-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA CAMPUZANO",
        "first_name": "AMALIA",
        "middle_name": "ISABEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2023-08-07",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U6023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donna, TX

Sources for this page

Verify at the official NPI Registry.