NPIMap

Individual provider Active NPI

C Sreenivasan

  • Nephrology Physician
  • Amarillo, TX
National Provider Identifier
1952376758
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G6622 Issued in TX
Practice address
800 Quail Creek Dr
Ste 101
Amarillo, TX 79124-1634
Phone
(806) 355-8911
Fax
(806) 355-3182
NPI assigned
Feb 23, 2006
Last updated
Nov 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G6622 TX Primary

Addresses

Primary practice location

800 Quail Creek Dr
Ste 101
Amarillo, TX 79124-1634

Mailing address

800 Quail Creek Dr
Ste 101
Amarillo, TX 79124-1634
Phone (806) 355-8911

Other identifiers 1

IdentifierTypeStateIssuer
114741503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080820000146 TX Practitioner - NephrologyPractitioner - Internal Medicine 5799788659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Nephrology Associates PAGroup PAC ID 5193825016, 5 clinicians

Practice addresses (Care Compare)

1501 S Coulter St
Northwest Texas Hospital
Amarillo, TX 79106-1770
Phone (806) 418-2690

1600 Wallace Blvd
Bsa Hospital
Amarillo, TX 79106-1799
Phone (806) 212-2000

1805 Point W Pkwy
Amarillo, TX 79124-2166

1900 SE 34TH Ave Unit
300 Palo Duro Dialysis
Amarillo, TX 79118-6753
Phone (806) 639-6050

5920 W Amarillo Blvd
High Plains Dialysis
Amarillo, TX 79106-4148
Phone (806) 353-9182

7200 SW 9TH Ave
Amarillo Rehab Hospital
Amarillo, TX 79106-1703
Phone (806) 468-2900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Nephrology Associates, P.a. CurrentSince Jan 1, 2014 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1805 Point West Pkwy
Ste 100
Amarillo, TX 79124
Phone (806) 418-8620

1805 Point West Pkwy
Ste 200
Amarillo, TX 79124
Phone (806) 418-2690

5920 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 353-9181

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71057

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1952376758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 QUAIL CREEK DR",
            "address_2": "STE 101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241634",
            "telephone_number": "806-355-8911",
            "fax_number": "806-355-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 QUAIL CREEK DR",
            "address_2": "STE 101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241634",
            "telephone_number": "806-355-8911",
            "fax_number": "806-355-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREENIVASAN",
        "first_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "G6622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114741503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.