Provider Demographics
NPI:1760440192
Name:AMIN, ALPESH A (MD)
Entity Type:Individual
Prefix:
First Name:ALPESH
Middle Name:A
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-648-8000
Mailing Address - Fax:214-645-7263
Practice Address - Street 1:1300 W TERRELL AVE STE 500
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2810
Practice Address - Country:US
Practice Address - Phone:817-252-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4282207RC0000X, 207RA0001X, 207RI0200X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX305824001Medicaid
TXTXB163111Medicare PIN
H 18118Medicare UPIN
MO7757529OtherAETNA HEALTHCARE
MOP0082850Medicare ID - Type UnspecifiedRAILROAD
MO186250OtherCOVENTRY
MO200189777OtherHUMANA
H 18118Medicare UPIN
MO0402324OtherUNITED HEALTHCARE
MOP87B389Medicare ID - Type Unspecified
KSP88B389Medicare ID - Type Unspecified