DR. PORTIA SIWAWA (MD) – Surgery Physician, NPI 1215220488

DR. PORTIA SIWAWA (MD) is a healthcare provider. based in Amarillo, Texas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 82971 (GA). The NPI Number for DR. PORTIA SIWAWA (MD) is 1215220488

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. PORTIA SIWAWA (MD)
NPI
1215220488
Phone
(806) 354-5417
Address
1400 S COULTER ST
Enumeration Date
22 May 2011
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709918000
Graduation Year
2005 (21 years ago)
PAC ID
4183895758
Group Practice PAC ID
9032491956
Professional Enrollment ID
I20190729003662
Address ID
GA302742615RI11XXXSWXX515
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

Provider Addresses for DR. PORTIA SIWAWA (MD)

  • 1400 S COULTER ST

    AMARILLO, TX 791061786

    Phone: (806) 354-5417

    Type: Mailing

  • 11 UPPER RIVERDALE RD SW

    RIVERDALE, GA 302742615

    Phone: (770) 897-7043

    Fax: (770) 996-3941

    Type: Location

  • 1301 SIGMAN RD NE STE 200

    CONYERS, GA 300123819

    Phone: (678) 806-3340

    Type: Mailing

  • 1218 W PACES FERRY RD NW STE 204

    ATLANTA, GA 303272308

    Phone: (404) 285-2289

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2023-05-08 • Largest payer in this snapshot: ABBVIE INC. ($148).

Total Amount

$194

General + Research + Ownership

Payments

3

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190729003662IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3228$0
99214Established patient office or other outpatient visit, 30-39 minutes2618$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)1817$0
76641Complete ultrasound scan of 1 breast1412$0
77063Screening 3d breast mammography1313$0
View full utilization report →

Insurance plans in this area (ZIP 79106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032491956View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. PORTIA SIWAWA (MD)?
Save NPI 1215220488 if you need a stable reference for DR. PORTIA SIWAWA (MD).
Is DR. PORTIA SIWAWA (MD) active in the national directory?
DR. PORTIA SIWAWA (MD)'s public NPI profile is in an active state.
What kind of provider is DR. PORTIA SIWAWA (MD)?
The page reflects Surgery Physician for DR. PORTIA SIWAWA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. PORTIA SIWAWA (MD)?
The snapshot lists Amarillo, Texas for DR. PORTIA SIWAWA (MD); download NPPES for the complete set.
How can I contact DR. PORTIA SIWAWA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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