Individual provider Active NPI

Amber Klimczak, M.D.

  • Reproductive Endocrinology Physician
  • Plano, TX
National Provider Identifier
1790165405
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
T1987 Issued in TX
Practice address
5288 Towne Square Drive
Plano, TX 75024-2976
Phone
(469) 443-4329
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BP10052641 TX
Reproductive Endocrinology Physician 207VE0102X 25MA10537200 NJ
Reproductive Endocrinology Physician 207VE0102X T1987 TX Primary

Addresses

Primary practice location

5288 Towne Square Drive
Plano, TX 75024-2976

Mailing address

5288 Towne Square Drive
Plano, TX 75024-2976
Phone (469) 443-4329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10052641TXMDObstetrics & Gynecology Physician
25MA10537200NJMDReproductive Endocrinology Physician
T1987TXMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Fertility, PLLC Reproductive Endocrinology Current Accepting new patients

Locations

7557 Rambler Rd
Ste 265
Dallas, TX 75231
Phone (469) 443-4329

5288 Towne Square Dr
Plano, TX 75024
Phone (469) 443-4329

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.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1790165405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5288 TOWNE SQUARE DRIVE",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242976",
            "telephone_number": "469-443-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5288 TOWNE SQUARE DRIVE",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242976",
            "telephone_number": "469-443-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMCZAK",
        "first_name": "AMBER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10052641",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "25MA10537200",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "T1987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.