Individual provider Active NPI

Robert Amadi Achilike, M.D

  • Orthopaedic Surgery Physician
  • Decatur, TX
National Provider Identifier
1003348871
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
67811 Issued in TN
Practice address
1000 Medical Center Dr
Decatur, TX 76234-3834
Phone
(940) 626-2410
Fax
(940) 626-2411
NPI assigned
Mar 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 67811 TN Primary

Addresses

Primary practice location

1000 Medical Center Dr
Decatur, TX 76234-3834

Mailing address

2901 Acme Brick PLZ
Fort Worth, TX 76109-4124
Phone (817) 529-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230801003386 TN Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 8022387901 Reassigns benefits to 1 organization
I20240514000659 TX Practitioner - Orthopedic Surgery 8022387901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael H Boothby, MD, PAGroup PAC ID 0446426134, 12 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Decatur, TX 76234-3834
Phone (940) 626-2410

Hospital & facility affiliations

  • Medical City Denton Hospital, Denton, TX, CCN 450634

Merit-based Incentive Payment System (MIPS)

Final score
77.11 of 100Reported as group
Quality
55.05
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
75.09 of 100Reported as group
Quality
50.47
Promoting interoperability
99
Improvement activities
40
Cost
67.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67811TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael H Boothby, MD PA Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
CC Bpci PLC Orthopaedic Surgery Past Accepting new patients

Locations

260 Willow Bend Dr
Ste 200
Aledo, TX 76008
Phone (817) 441-2555

1000 Medical Center Dr
Decatur, TX 76234
Phone (940) 539-8510

2901 Acme Brick Plz
Ft Worth, TX 76109
Phone (817) 423-2329

Interoperability endpoints

  • Direct secure messaging: robert.achilike.1@1366.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1003348871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ACME BRICK PLZ",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094124",
            "telephone_number": "817-529-1900",
            "fax_number": "817-529-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343834",
            "telephone_number": "940-626-2410",
            "fax_number": "940-626-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHILIKE",
        "first_name": "ROBERT",
        "middle_name": "AMADI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "67811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.