Individual provider Active NPI

Amanda Kate Myres, M.D.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1952626913
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P5214 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 567-4506
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X P5214 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

45 NE Loop 410
Suite 900
San Antonio, TX 78216-5831
Phone (210) 375-7790

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
I20140813002637 TX Practitioner - Anesthesiology 0042437147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 Civic Ctr Dr
Suite 200
Sandy, UT 84070-4284

182 Industrial Rd
Glen Rock, PA 17327-8626

2537 S Gessner Rd
Suite 200
Houston, TX 77063-2035

4100 International PLZ
Suite 800
Fort Worth, TX 76109-4839

45 NE Loop
410 Suite 900
San Antonio, TX 78216-5831

5001 LBJ Fwy
Suite 320
Dallas, TX 75244

5295 Westview Dr
Suite 225
Frederick, MD 21703-8518

6431 Fannin St
G125
Houston, TX 77030-1517

6431 Fannin St
Suite 5.020
Houston, TX 77030-1501

808 Russell Palmer Rd
Suite 151
Kingwood, TX 77339-1452

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Anesthesia Associates PLLC Anesthesiology CurrentSince Mar 15, 2019 Accepting new patients
Independent Physicians Network PLLC Anesthesiology CurrentSince Aug 28, 2019 Accepting new patients
Ut Physicians CurrentSince May 1, 2016 Accepting new patients
Ut Physicians Anesthesiology CurrentSince May 1, 2016 Accepting new patients
Texas Anesthesia Team PLLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients

Locations

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

8545 Gulf Fwy
Houston, TX 77017
Phone (713) 941-7737

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

6431 Fannin St
Ste 5020
Houston, TX 77030
Phone (713) 500-6200

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

3800 N Shepherd Dr
Ste B
Houston, TX 77018
Phone (832) 331-2969

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

9709 Lakeside Blvd
Ste 350
Spring, TX 77381

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 2

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1952626913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410",
            "address_2": "SUITE 900",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165831",
            "telephone_number": "210-375-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-567-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRES",
        "first_name": "AMANDA",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P5214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.