Organization Active NPI

Advanced Southern Gastroenterology PLLC

  • Gastroenterology Physician
  • Corpus Christi, TX
National Provider Identifier
1881534501
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ADVANCED SOUTHERN GASTROENTEROLOGY PLLC
Practice address
535 Gordon St
Corpus Christi, TX 78404-2535
Phone
(361) 320-1890
NPI assigned
Mar 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Mr. Amir R Ahmed, MDNPI 1205824810
Title
President
Phone
(832) 622-6621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

535 Gordon St
Corpus Christi, TX 78404-2535

Mailing address

27211 Ashford Sky LN
Katy, TX 77494-3715

Other practice location 1

601 E San Antonio St Ste 303W
Victoria, TX 77901-6002
Phone (361) 320-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260422000444 TX Part B Supplier - Clinic/Group Practice 3274000765 Receives reassigned benefits from 4 practitioners
Practice locations: Fulshear, TX

National Provider Directory

National Provider Directory

Locations

5210 FM 1463 Rd
Fulshear, TX 77494

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1881534501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27211 ASHFORD SKY LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943715",
            "fax_number": "361-320-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GORDON ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042535",
            "telephone_number": "361-320-1890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E San Antonio St Ste 303W",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779016002",
            "country_code": "US",
            "telephone_number": "361-320-1890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED SOUTHERN GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-622-6621",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.