Nima Amjadi (NPI# 1114974011, PAC ID# 5799756607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1114974011 |
| PAC ID by PECOS | 5799756607 |
| Professional Enrollment ID | I20040804000667 |
| Full Name | Nima Amjadi |
| Organization Legal Name | LEGACY HEART CARE OF SOUTH AUSTIN, LLC |
| Address |
1807 W Slaughter Lane Suite 485 Austin TX 78748-6230 |
| Phone Number | 5122972100 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0446526925 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450713 | ST DAVID'S SOUTH AUSTIN MEDICAL CENTER |
| 450431 | ST DAVID'S MEDICAL CENTER |
| 450718 | ROUND ROCK MEDICAL CENTER |
| 450865 | SETON SOUTHWEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 | 5122972100 | LEGACY HEART CARE OF SOUTH AUSTIN, LLC |
| 4316 James Casey St, Austin, TX 78745-1116 | 5126235300 | ST DAVIDS HEART AND VASCULAR PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | LEGACY HEART CARE OF SOUTH AUSTIN, LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry Lynn Ramirez | Nurse Practitioner | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Tarnia Newton | Nurse Practitioner | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Vu D Nguyen | Cardiovascular Disease (cardiology) | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Ann S Teal | Physician Assistant | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Kathlean Cooley-ponds | Certified Clinical Nurse Specialist (cns) | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Tuan D Nguyen | Cardiovascular Disease (cardiology) | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Celinda I Guerra | Physician Assistant | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Aaron Curry | Nurse Practitioner | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Megan A Miller | Nurse Practitioner | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Sara N Klopp | Physician Assistant | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Street Address |
1807 W SLAUGHTER LANE SUITE 485 |
| City | AUSTIN |
| State | TX |
| Zip | 78748-6230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry Lynn Ramirez | Nurse Practitioner | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Tarnia Newton | Nurse Practitioner | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Vu D Nguyen | Cardiovascular Disease (cardiology) | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Ann S Teal | Physician Assistant | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Kathlean Cooley-ponds | Certified Clinical Nurse Specialist (cns) | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Tuan D Nguyen | Cardiovascular Disease (cardiology) | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Celinda I Guerra | Physician Assistant | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Aaron Curry | Nurse Practitioner | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Megan A Miller | Nurse Practitioner | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Sara N Klopp | Physician Assistant | Legacy Heart Care of South Austin, LLC | 1807 W Slaughter Lane, Suite 485, Austin, TX 78748-6230 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shiva K Lam | Psychiatry | 2111 W Slaughter Lane, Austin, TX 78748 | |
| Jason G Reed | Optometry | 9300 S Ih, 35 C100, Austin, TX 78748-1733 | |
| Jody Michael Powell | Nurse Practitioner | Elite Patient Care,pllc | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 |
| Brittany Bohl Smith | Nurse Practitioner | Elite Patient Care,pllc | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 |
| Paul Bradley | Certified Clinical Nurse Specialist (cns) | Elite Patient Care,pllc | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 |
| Seyrah Hall | Nurse Practitioner | Elite Patient Care,pllc | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 |
| Deacon W Staggs | Physical Medicine and Rehabilitation | Post-acute Physicians of Texas Pllc | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 |
| Diana L Stone | Family Medicine | Elite Patient Care,pllc | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 |
| Marquitta Brown | Nurse Practitioner | Elite Patient Care,pllc | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 |
| Shawn Christopher Chen | Internal Medicine | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 | |
| Find all physicians in zip 78748 | |||
| City | AUSTIN |
| Zip Code | 78748 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | AUSTIN + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Nima Amjadi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.