Individual provider Active NPI

Abdul Salam Thannoun, MD

  • Gastroenterology Physician
  • Amarillo, TX
National Provider Identifier
1962438713
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J0308 Issued in TX
Practice address
3501 S Soncy Rd Suite 107
Amarillo, TX 79119
Phone
(806) 354-2400
Fax
(806) 354-8070
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X J0308 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Suite 107
Amarillo, TX 79119

Mailing address

3501 S Soncy Rd Ste 107
Amarillo, TX 79119-6405
Phone (806) 354-2400

Other identifiers 3

IdentifierTypeStateIssuer
100013041OtherTXRAILROAD MEDICARE
131186208MedicaidTX
131186204MedicaidTX

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
I20040729001078 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 5890765416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

911 23Rd St
Canyon, TX 79015-4645
Phone (806) 655-2104

Hospital & facility affiliations

  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041

Merit-based Incentive Payment System (MIPS)

Final score
82.24 of 100Reported as individual
Quality
68.95
Improvement activities
40
Cost
82.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Upper gastrointestinal (GI) endoscopy for acid reflux48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0308TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Current Accepting new patients
Seton Family of Doctors CurrentSince Dec 23, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Dec 23, 2024 Accepting new patients
Abdul S Thannoun MD PA Gastroenterology CurrentSince Feb 29, 2012 Accepting new patients

Locations

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

3501 S Soncy Rd
Ste 107
Amarillo, TX 79119
Phone (806) 354-2400

603 Quail Creek Dr
Spc 300
Amarillo, TX 79124
Phone (806) 350-8980

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

911 23rd St
Canyon, TX 79015
Phone (806) 353-6400

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: abdulthannoun@astmdfacpf.allscriptsdirect.net
  • Direct secure messaging: athannoun84222@ahs.direct-ci.com

Organizations & group practices 4

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 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1962438713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 107",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-354-2400",
            "fax_number": "806-354-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD SUITE 107",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79119",
            "telephone_number": "806-354-2400",
            "fax_number": "806-354-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANNOUN",
        "first_name": "ABDUL",
        "middle_name": "SALAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J0308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100013041",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131186208",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131186204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.