Individual provider Active NPI

Andrew Bamnjo Tatah, M.D

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1932384377
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P3592 Issued in TX
Practice address
PO Box 605012
Columbus, OH 43260-1992
Phone
(561) 203-0611
NPI assigned
Jan 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X P3592 TX
Emergency Medicine Physician 207P00000X P3592 TX Primary

Addresses

Primary practice location

PO Box 605012
Columbus, OH 43260-1992

Mailing address

PO Box 605012
Columbus, OH 43260-5012
Phone (561) 203-0611

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
I20121029000646 TX Practitioner - Family PracticePractitioner - Emergency Medicine 8325298326 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians

Practice addresses (Care Compare)

1501 S Coulter St
NW TX Healthcare Sys
Amarillo, TX 79106-1770
Phone (561) 203-0611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Em Alliance Texas, PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Nov 3, 2012 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Seminole Hospital District of Gaines County Texas Emergency Medicine CurrentSince Nov 3, 2012 Accepting new patients
Canadian River Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

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

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

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Organizations & group practices 5

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 4

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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1932384377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605012",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432605012",
            "telephone_number": "561-203-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 605012",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432601992",
            "telephone_number": "561-203-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATAH",
        "first_name": "ANDREW",
        "middle_name": "BAMNJO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-03",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "P3592",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P3592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.