Individual provider Active NPI

Farhana Ambreen, M.D.

  • Family Medicine Physician
  • Bay City, TX
National Provider Identifier
1831383355
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4905 Issued in TX
Practice address
1700 Golden Ave
Bay City, TX 77414-3122
Phone
(979) 245-2008
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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 N4905 TX Primary

Addresses

Primary practice location

1700 Golden Ave
Bay City, TX 77414-3122

Mailing address

101 Avenue F N
Mehop
Bay City, TX 77414-3167
Phone (979) 245-2008

Other practice location 1

10141 US 59 Hwy Ste A
Wharton, TX 77488-7224
Phone (979) 245-2008

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
I20100526000100 TX Practitioner - Family Practice 7911036256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matagorda Episcopal Health Outreach Program CorporationGroup PAC ID 6002853538, 9 clinicians

Practice addresses (Care Compare)

10119 US 59 Hwy
Wharton, TX 77488-7224
Phone 9792452008300

Hospital & facility affiliations

  • Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matagorda Episcopal Health Outreach Program Corporation CurrentSince Apr 1, 2010 Accepting new patients
Matagorda Episcopal Health Outreach Program CurrentSince Apr 1, 2010 Accepting new patients
Matagorda Episcopal Health Outreach Program PastSince Aug 25, 2019 Accepting new patients
Matagorda Episcopal Health Outreach Program Family Medicine Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Matagorda Episcopal Health Outreach Program Past Accepting new patients

Locations

101 Avenue F N
Bay City, TX 77414

1700 Golden Ave
Bay City, TX 77414

111 Avenue F N
Bay City, TX 77414
Phone 9792452008302

307 Green Ave
Ste A
Palacios, TX 77465
Phone 9792452008300

10119 US 59 Hwy
Wharton, TX 77488
Phone 9792452008302

10141 US 59 Hwy
#A
Wharton, TX 77488
Phone 9792452008300

Interoperability endpoints

  • Direct secure messaging: fambreenmd@mehop.directbygreenway.com

Organizations & group practices 6

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 1

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1831383355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENUE F N",
            "address_2": "MEHOP",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143167",
            "telephone_number": "979-245-2008",
            "fax_number": "979-245-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GOLDEN AVE",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143122",
            "telephone_number": "979-245-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10141 US 59 Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Wharton",
            "state": "TX",
            "postal_code": "774887224",
            "country_code": "US",
            "telephone_number": "979-245-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBREEN",
        "first_name": "FARHANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.