Individual provider Active NPI

Eric C Ehle, D.O.

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1114238839
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P5061 Issued in TX
Practice address
11 Medical Dr
Amarillo, TX 79106-4137
Phone
(806) 355-9355
Fax
(806) 340-7975
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P5061 TX Primary

Addresses

Primary practice location

11 Medical Dr
Amarillo, TX 79106-4137

Mailing address

11 Medical Dr
Amarillo, TX 79106-4137
Phone (806) 355-9355

Other identifiers 3

IdentifierTypeStateIssuer
200496900 AMedicaidOK
88286878MedicaidNM
324154901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000180 TX Practitioner - Family Practice 6002076932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Well Life Family Medicine, P.a.Group PAC ID 9335373372, 6 clinicians

Practice addresses (Care Compare)

11 Medical Dr
Amarillo, TX 79106-4137
Phone (806) 355-9355

1400 S Coulter St
Amarillo, TX 79106-1786

Hospital & facility affiliations

  • Bsa Compassion Home Care Home health agency, Amarillo, TX, CCN 677943
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5061TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Amarillo Current Accepting new patients
Texas Tech University Health Sciences Center Amarillo Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Texas Tech University Health Sciences Center Amarillo Current Accepting new patients
Well Life Family Medicine, P.a. Family Medicine CurrentSince May 24, 2013 Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Sep 1, 2013 Accepting new patients
Texas Tech University Health Sciences Center Amarillo Current Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 354-5585

2213 W Interstate 40
Amarillo, TX 79109
Phone (806) 355-5800

1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600

11 Medical Dr
Amarillo, TX 79106
Phone (806) 353-6400

Interoperability endpoints

  • Direct secure messaging: eric.ehle@292210469699588.direct.elationemr.com
  • Direct secure messaging: ericehle@ttuhsc.allscriptsdirect.net

Organizations & group practices 7

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 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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1114238839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064137",
            "telephone_number": "806-355-9355",
            "fax_number": "806-340-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064137",
            "telephone_number": "806-355-9355",
            "fax_number": "806-340-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLE",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200496900 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88286878",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324154901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.