Individual provider Active NPI

Megan L Fankhauser, MD

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1003171158
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
Q6175 Issued in TX
Practice address
6400 Fannin St Ste 2800
Houston, TX 77030-1534
Phone
(713) 704-7100
Fax
(713) 704-6889
NPI assigned
Jul 5, 2012
Last updated
Aug 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R73360 AZ
Neurology Physician 2084N0400X Q6175 TX Primary

Addresses

Primary practice location

6400 Fannin St Ste 2800
Houston, TX 77030-1534

Mailing address

6400 Fannin St Ste 2070
Houston, TX 77030-1541
Phone (713) 704-6731

Other names 1

  • Megan L. Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD, NE, AZ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160602000428 TX Practitioner - Neurology 1456597921 Reassigns benefits to 1 organization
I20210121003033 SD Practitioner - Neurology 1456597921 Reassigns benefits to 1 organization
I20210224000109 NE Practitioner - Neurology 1456597921 Reassigns benefits to 1 organization
I20220803002830 AZ Practitioner - Neurology 1456597921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Creighton University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

3911 Ave B
Scottsbluff, NE 69361-4617
Phone (308) 630-2030

5250 E Mountain View Rd
Megan L Fankhauser MD
Paradise Valley, AZ 85253-1628
Phone (308) 635-3888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q6175TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic Neurology CurrentSince Jan 30, 2021 Accepting new patients
Remote Telehealth Services Texas, PLLC CurrentSince Jun 19, 2024 Accepting new patients
Panhandle Health Services PastSince Feb 1, 2021 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste 2300
Scottsbluff, NE 69361
Phone (308) 630-1055

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/mangold-da1913d0

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1003171158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2070",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301541",
            "telephone_number": "713-704-6731",
            "fax_number": "713-704-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301534",
            "telephone_number": "713-704-7100",
            "fax_number": "713-704-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANKHAUSER",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R73360",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q6175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DAVIS",
            "middle_name": "L.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.