Individual provider Active NPI

Amara Sayed

  • Dermatology Physician
  • Georgetown, TX
National Provider Identifier
1831215763
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N7343 Issued in TX
Practice address
3010 Williams Dr
Suite 177
Georgetown, TX 78628-2764
Phone
(512) 930-3909
Fax
(512) 869-5868
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X N7343 TX Primary

Addresses

Primary practice location

3010 Williams Dr
Suite 177
Georgetown, TX 78628-2764

Mailing address

3010 Williams Dr
Suite 177
Georgetown, TX 78628-2764
Phone (512) 930-3909

Other identifiers 1

IdentifierTypeStateIssuer
289382801MedicaidTX

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
I20110401000581 TX Practitioner - Dermatology 4486755345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Nova Southeastern Univ College of Dental Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain West Derm - Blackhart PLLCGroup PAC ID 1153609813, 103 clinicians

Practice addresses (Care Compare)

4513 Williams Dr
Georgetown, TX 78633-1302
Phone (512) 930-3909

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2462
Removal or shaving of skin growth1-10
Skin biopsy1933

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Derm - Blackhart PLLC Dermatology CurrentSince Oct 1, 2021 Accepting new patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Oct 1, 2021 Accepting new patients

Locations

7801 N Lamar Blvd
Ste D81
Austin, TX 78752
Phone (512) 868-3376

5625 Eiger Rd
Ste 105
Austin, TX 78735
Phone (512) 763-3760

4513 Williams Dr
Georgetown, TX 78633

1320 Wonder World Dr
Ste 108
San Marcos, TX 78666
Phone (512) 392-1411

Organizations & group practices 2

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1831215763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WILLIAMS DR",
            "address_2": "SUITE 177",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282764",
            "telephone_number": "512-930-3909",
            "fax_number": "512-869-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WILLIAMS DR",
            "address_2": "SUITE 177",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282764",
            "telephone_number": "512-930-3909",
            "fax_number": "512-869-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYED",
        "first_name": "AMARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N7343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289382801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.