Active NPI
Amelia Eileen Bush Hoelscher, MD
- Dermatology Physician
- Fort Worth, TX
National Provider Identifier
1154785756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- S3894
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 343 |
| Skin biopsy | 177 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3894 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molly M Warthan MD | Dermatology | Current | Accepting new patients |
| Warthan Dermatology Associates, P.a. | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Fort Worth, TX
- NPI 1306228432
-
- Dermatology Physician
- Frisco, TX
- NPI 1326372137
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.