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BSA AMARILLO DIAGNOSTIC CLINIC INC
NPI 1134559826
Internal Medicine in Amarillo, TX

Active since November 18, 2013CLIA 45D0507011 · Certificate of Compliance
6700 W 9TH AVE, AMARILLO, TX 79106(806) 358-0200(806) 356-5590 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bsa Amarillo Diagnostic Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BSA AMARILLO DIAGNOSTIC CLINIC INC (NPI 1134559826) is a healthcare organization registered as an internal medicine in Amarillo, Texas and active in the NPI registry since November 2013. The organization holds a CLIA Certificate of Compliance certificate valid through October 12, 2027 and lists Stephen C Petrovich, Svp, as its authorized official.

NPPES Registry Identity

NPI1134559826
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBSA AMARILLO DIAGNOSTIC CLINIC INC
Location Address6700 W 9TH AVEAmarillo, TX 79106-1701
Mailing Address1 Burton Hills Blvd, Suite 250Nashville, TN 37215-6293 · (615) 295-3000 · Fax (615) 296-6011
Phone(806) 358-0200
Fax(806) 356-5590
Organization SubpartNo
Authorized OfficialStephen C PetrovichSvp · (615) 296-3000
Enumeration DateNovember 18, 2013
Last NPPES UpdateOctober 19, 2015
✔ NPI 1134559826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6700 W 9TH AVE, Amarillo, TX 79106
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Other Identifiers 2

Medicare UPIN347906TX
Medicaid339696201TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bsa Amarillo Diagnostic Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Bsa Amarillo Diagnostic Clinic Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner12
Gastroenterology6
Pulmonary Disease5
Infectious Disease3
Internal Medicine2
Neurology2
Rheumatology2

Nearest to this location (20)

See all 32
Imene Boumaza, M.D
Pulmonary Disease
NPI 1093109993
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts MedicareSame address
Flint Smith, MD
Infectious Disease
NPI 1588222186
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts MedicareSame address
Marcia Henderson, MD
Pulmonary Disease
NPI 1659577013
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Craig Perrien, AGACNP
Nurse Practitioner
NPI 1750711172
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Thien Vo, M.D.
Pulmonary Disease
NPI 1023278603
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Kyla Beedy, FNP-C
Nurse Practitioner
NPI 1083921100
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Joseph Carlisle, M.D.
Infectious Disease
NPI 1841237815
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Ming Chen, M.D., PH.D.
Rheumatology
NPI 1679766604
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Lindsey Criss, AGACNP-BC
Nurse Practitioner
NPI 1225656952
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Javier Dieguez, M.D.
Pulmonary Disease
NPI 1497061527
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Mary Elmquist, GNP
Nurse Practitioner
NPI 1770766453
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Deepak Garg, MD
Infectious Disease
NPI 1952558769
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Sean Milligan, MD
Neurology
NPI 1861438061
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Holly Mitchell, MD
Internal Medicine
NPI 1881630622
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Timothy Mooring, MD
Pulmonary Disease
NPI 1376570002
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Haq Nawaz, M.D.
Gastroenterology
NPI 1740419597
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Adrian Pay, M.D.
Internal Medicine
NPI 1417041203
6700 W 9TH AVE
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Beggs, M.D.
Gastroenterology
NPI 1689615734
1600 S COULTER ST STE B
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.9 mi
Eddie Copelin, M.D.
Gastroenterology
NPI 1063894343
1600 S COULTER ST STE B
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.9 mi
Richard Ellington, M.D.
Gastroenterology
NPI 1205879632
1600 S COULTER ST STE B
Amarillo, TX 79106
(806) 358-0200
✔ PECOS✔ Accepts Medicare0.9 mi
See all 32 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0507011

Bsa Amarillo Diagnostic Clinic,inc · Amarillo, TX
Active · expires Oct 12, 2027
CLIA Number45D0507011
Laboratory TypePractitioner Other
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorKimberly D. Leggett
Laboratory Phone(806) 358-0280
Laboratory LocationBsa Amarillo Diagnostic Clinic,inc6700 W 9th, Amarillo, TX 79106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bsa Amarillo Diagnostic Clinic Inc's NPI number?

The NPI number for Bsa Amarillo Diagnostic Clinic Inc is 1134559826. It was assigned to this organization in the NPPES registry on November 18, 2013.

Where is Bsa Amarillo Diagnostic Clinic Inc located?

Bsa Amarillo Diagnostic Clinic Inc is located at 6700 W 9th Ave, Amarillo, TX 79106. The listed phone number is (806) 358-0200.

What is Bsa Amarillo Diagnostic Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bsa Amarillo Diagnostic Clinic Inc enrolled in Medicare?

Yes. Bsa Amarillo Diagnostic Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bsa Amarillo Diagnostic Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 7 Medicare specialties reassign their Medicare billing to Bsa Amarillo Diagnostic Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Gastroenterology (6) and Pulmonary Disease (5). Of these, 2 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bsa Amarillo Diagnostic Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0507011) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bsa Amarillo Diagnostic Clinic Inc accept?

Health plans from WellPoint list Bsa Amarillo Diagnostic Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bsa Amarillo Diagnostic Clinic Inc was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.