Active NPI
Amy Mettman, MD
- Otolaryngology Physician
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- N5868
- Practice address
- 660 W Southlake Blvd
Suite 100
Southlake, TX 76092-6069 - Phone
- (817) 416-9731
- Fax
- (817) 416-9751
- NPI assigned
- Jun 9, 2007
- Last updated
- Oct 13, 2011
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | N5868 | TX | Primary |
Addresses
Primary practice location
660 W Southlake Blvd
Suite 100
Southlake, TX 76092-6069
Mailing address
660 W Southlake Blvd.
Suite 100
Southlake, TX 76092-6070
Phone (817) 416-9731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP1-0026060 | Other | INSTITUTIONAL PERMIT |
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
- Otolaryngology
- Education
- University of Cincinnati College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 Hospital Pkwy
Suite 210
Bedford, TX 76022-5936
Phone (817) 540-3121
Hospital & facility affiliations
- Texas Health Harris Methodist Hospital Southlake
- Methodist Southlake Medical Center
- Texas Health Harris Methodist Hurst-Euless-Bedford
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.85 of 100
- Quality
- 100
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 66.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Ear, Nose & Throat Specialists, L.L.P. | Current | Accepting new patients | |
| Michael D. Bryan, MD | Otolaryngology | Past | Accepting new patients |
Locations
1615 Hospital Pkwy
Ste 210
Bedford, TX 76022
Phone (817) 540-3121
4320 Windsor Centre Trl
Ste 200
Flower Mound, TX 75028
Phone (972) 691-0368
2813 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 835-9289
905 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 809-2400
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GACHBA/Endpoint/GACHBA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Bedford, TX
- NPI 1790747509
-
- Otolaryngology Physician
- Southlake, TX
- NPI 1386939262
-
- Otolaryngology Physician
- Southlake, TX
- NPI 1811148802
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Southlake Medical Center
- General Acute Care Hospital
- Southlake, TX
- NPI 1568818417
-
dba Texas Health Harris Methodist Hospital Southlake
- General Acute Care Hospital
- Southlake, TX
- NPI 1629064928
-
- General Acute Care Hospital
- Bedford, TX
- NPI 1104845015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1174726772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 W SOUTHLAKE BLVD.",
"address_2": "SUITE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926070",
"telephone_number": "817-416-9731",
"fax_number": "817-416-9751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 W SOUTHLAKE BLVD",
"address_2": "SUITE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926069",
"telephone_number": "817-416-9731",
"fax_number": "817-416-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METTMAN",
"first_name": "AMY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-09",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "N5868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP1-0026060",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.