Amanda Lynn Profit, MD

Primary specialty

Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X

License

P0923 Issued in TX

Practice address

7777 Forest LN Ste a-200
Dallas, TX 75230-2571

Phone

(972) 566-7283

NPI assigned

Apr 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pathology

Education

University of Texas Medical School at Houston, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCD Pathology LLPGroup PAC ID 0648394924, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• MCD Pathology LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
  • NPI 1114959665

  Molecular Genetic Pathology

  Medicare reassignment Care Compare group NPD
• Pathologists Biomedical Laboratories PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Grapevine, TX
  • NPI 1275838179
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Hospital at Medical City Dallas Subsidiary LP

  dba Medical City Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1023180502
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  dba Medical City Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  Care Compare affiliation

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1962729194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10006 RIDGEHAVEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A-200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFIT",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "TX",
            "license": "P0923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297659901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Care Facility
• Professional Diagnostic Affiliates (DFW Pda)
• Professional Nutrition Therapists, LLC
• Professional Vascular Diagnostics Inc.
• John Leslie Proffitt, MD
• Jenni Profit
• Progressive Anesthesia Institute PLLC
• Progressive Endodontics, P.a.
• Progressive Health Medical Associates, PLLC
• Progressive Health Medical Center PLLC

• Molecular Genetic Pathology (Pathology) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Molecular Genetic Pathology (Pathology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.