Individual provider Active NPI

Amanuel Abreha, M.D.

  • Internal Medicine Physician
  • Liberty, TX
National Provider Identifier
1821059841
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2511 Issued in TX
Practice address
723 Main St
Liberty, TX 77575-4813
Phone
(832) 331-8438
Fax
(936) 336-2862
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2511 TX Primary

Addresses

Primary practice location

723 Main St
Liberty, TX 77575-4813

Mailing address

723 Main St
Liberty, TX 77575-4813
Phone (832) 331-8438

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
I20060224000664 TX Practitioner - Internal Medicine 8325084320 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty County Hospital District No 1 13 clinicians

Practice addresses (Care Compare)

1202 N Travis St
Liberty, TX 77575-3540
Phone (281) 915-0749

1353 N Travis St
Liberty, TX 77575-3549
Phone (936) 336-7316

Hospital & facility affiliations

  • Tender Home Health Care Inc Home health agency, Baytown, TX, CCN 459088
  • Liberty Dayton Regional Medical Center Hospital, Liberty, TX, CCN 451375
  • Liberty Dayton Regional Medical Center Nursing home, CCN 45Z375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2511TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty County Hospital District No 1 CurrentSince Jun 4, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 18, 2019 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Jan 1, 2026 Accepting new patients
St Joseph Emergency Physicians PLLC CurrentSince Jul 29, 2016 Accepting new patients
Ess of South Texas LLC CurrentSince May 10, 2015 Accepting new patients
Bay Area Emergency Partners CurrentSince Nov 6, 2019 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Jun 4, 2018 Accepting new patients
St Joseph Emergency Physicians PLLC Current Accepting new patients
Liberty County Hospital District No. 1 Past Accepting new patients
United Lifecare, P.a. Internal Medicine Past Accepting new patients
Glen Rose Medical Foundation Inc. Past Accepting new patients
North Houston Emergency Physicians Association Past Accepting new patients
Houston Emergency Medicine Associates PA Past Accepting new patients
Glen Rose Medical Foundation Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

1201 N Travis St
Liberty, TX 77575
Phone (936) 334-8800

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

Organizations & group practices 16

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.

View all 16

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1821059841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MAIN ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754813",
            "telephone_number": "832-331-8438",
            "fax_number": "936-336-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 MAIN ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754813",
            "telephone_number": "832-331-8438",
            "fax_number": "936-336-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREHA",
        "first_name": "AMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, TX

Sources for this page

Verify at the official NPI Registry.