Individual provider Active NPI

Amelia Eileen Bush Hoelscher, MD

  • Dermatology Physician
  • Fort Worth, TX
National Provider Identifier
1154785756
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S3894 Issued in TX
Practice address
5751 Edwards Ranch Rd Ste 101
Fort Worth, TX 76109-4131
Phone
(817) 923-9004
Fax
(817) 923-9004
NPI assigned
Apr 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X S3894 TX Primary

Addresses

Primary practice location

5751 Edwards Ranch Rd Ste 101
Fort Worth, TX 76109-4131

Mailing address

5751 Edwards Ranch Rd Ste 101
Fort Worth, TX 76109-4131
Phone (817) 923-9004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@MohsDermatology.com Direct

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
I20200629000110 TX Practitioner - Dermatology 1254624281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Molly M Warthan MDGroup PAC ID 7810203817, 5 clinicians

Practice addresses (Care Compare)

5751 Edwards Ranch Rd
Suite 101
Fort Worth, TX 76109-4131
Phone (817) 923-8220

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions343
Skin biopsy177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S3894TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Molly M Warthan MD Dermatology CurrentSince Jun 22, 2020 Accepting new patients
Warthan Dermatology Associates, P.a. Dermatology CurrentSince Jul 8, 2020 Accepting new patients

Locations

5751 Edwards Ranch Rd
Ste 101
Fort Worth, TX 76109
Phone (817) 923-8220

12255 University Dr
Ste 150
Frisco, TX 75035
Phone (972) 542-4646

Interoperability endpoints

  • Direct secure messaging: info@mohsdermatology.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1154785756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 EDWARDS RANCH RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094131",
            "telephone_number": "817-923-9004",
            "fax_number": "817-923-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 EDWARDS RANCH RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094131",
            "telephone_number": "817-923-9004",
            "fax_number": "817-923-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELSCHER",
        "first_name": "AMELIA",
        "middle_name": "EILEEN BUSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S3894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@MohsDermatology.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5751 Edwards Ranch Rd Ste 101",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761094131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.