| Dr Nima Amjadi, MD | |
|
170 Benney Ln Ste 100, Dripping Springs, TX 78620-5566 | |
| (512) 504-7411 | |
| (512) 215-8824 |
| Full Name | Dr Nima Amjadi |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 29 Years |
| Location | 170 Benney Ln Ste 100, Dripping Springs, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114974011 | NPI | - | NPPES |
| 167376602 | Medicaid | TX | |
| 167376605 | Medicaid | TX | |
| P00704409 | Other | TX | RAILROAD MEDICARE |
| 167376604 | Medicaid | TX | |
| 167376603 | Medicaid | TX | |
| 8BX087 | Other | TX | BCBSTX |
| P00334347 | Other | TX | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | L8596 (Texas) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | L8596 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St David's South Austin Medical Center | Austin, TX | Hospital |
| Ascension Seton Southwest | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Na Medical, Pllc | 2769896414 | 3 |
| Entity Name | Legacy Heart Care Of South Austin, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346768892 PECOS PAC ID: 0446526925 Enrollment ID: O20171027002344 |
| Entity Name | Na Medical, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770198665 PECOS PAC ID: 2769896414 Enrollment ID: O20210121000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nima Amjadi, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Dr Nima Amjadi, MD 170 Benney Ln Ste 100, Dripping Springs, TX 78620-5566 Ph: (512) 504-7411 |
Dr. Delbert Ray Brod, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 22561 Ranch Road 12, Dripping Springs, TX 78620 Phone: 512-569-3413 |