AMELA RIZVIC PETTY – Medical Physician Assistant, NPI 1922344043

AMELA RIZVIC PETTY is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. The NPI Number for AMELA RIZVIC PETTY is 1922344043

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
AMELA RIZVIC PETTY
NPI
1922344043
Phone
(512) 977-8300
Address
12335 HYMEADOW DR
Enumeration Date
18 December 2012
Last Update Date
22 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5122198787
Graduation Year
2012 (14 years ago)
PAC ID
6406267350
Group Practice PAC ID
9335333863
Professional Enrollment ID
I20201124002805
Address ID
TX786283677GE1623XDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for AMELA RIZVIC PETTY

  • 12335 HYMEADOW DR

    SUITE 150

    AUSTIN, TX 787501934

    Phone: (512) 977-8300

    Fax: (512) 977-8301

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 291 Open Payments records for all available years, with a total value of $5,327.

Total Amount is formed as General ($5,327) + Research ($0) + Ownership ($0) = $5,327.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Abbott Laboratories ($2,728).

Total Amount

$5,327

General + Research + Ownership

Payments

291

Total payment records

General Amount

$5,327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2020-11-24

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
I20201124002805IPhysician AssistantTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 78750)

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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: 9335333863View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementTX
Pain ManagementCA
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
-FL
Certified Registered Nurse Anesthetist (Crna)TX
Physician AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
Interventional Pain ManagementTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference AMELA RIZVIC PETTY?
For AMELA RIZVIC PETTY, use NPI 1922344043 as the unique 10-digit identifier.
Is there an active status for AMELA RIZVIC PETTY?
For scheduling context, AMELA RIZVIC PETTY is shown as active in the registry.
How would a patient describe AMELA RIZVIC PETTY's focus?
For AMELA RIZVIC PETTY, the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is AMELA RIZVIC PETTY associated with Austin?
Public fields place AMELA RIZVIC PETTY around Austin, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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