Individual provider Active NPI

Emily Elizabeth Hadley, MD

  • Maternal & Fetal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1184917841
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
Q4969 Issued in TX
Practice address
1201 S Main St
Fort Worth, TX 76104
Phone
(817) 702-6500
Fax
(817) 920-6559
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Q4969 TX
Maternal & Fetal Medicine Physician 207VM0101X Q4969 TX Primary

Addresses

Primary practice location

1201 S Main St
Fort Worth, TX 76104

Mailing address

1412 May St
Fort Worth, TX 76104-7639
Phone (817) 702-2450

Other practice location 1

301 University Blvd
Galveston, TX 77555-0587
Phone (409) 772-1193

Other practice location 2

1250 8th Ave Ste 570
Fort Worth, TX 76104-4145
Phone (817) 332-6667 ext. 113

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
I20150826001676 TX Practitioner - Obstetrics/Gynecology 2062728702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Specialized Womens Services PLLCGroup PAC ID 1254478951, 26 clinicians

Practice addresses (Care Compare)

12200 Renfert Way
Suite G3
Austin, TX 78758-5654
Phone (512) 821-2540

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Specialized Women'S Services, PLLC Maternal & Fetal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Methodist Physician Practices, PLLC Maternal & Fetal Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12200 Renfert Way
Ste G-3
Austin, TX 78758

3000 N Interstate 35
Ste 655
Austin, TX 78705

815 W State Highway 71
Ste 1120
Bastrop, TX 78602

107 S Park Dr
Ste A
Brownwood, TX 76801

1401 Medical Pkwy
Ste 408
Cedar Park, TX 78613

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1184917841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 MAY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047639",
            "telephone_number": "817-702-2450",
            "fax_number": "817-702-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-702-6500",
            "fax_number": "817-920-6559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550587",
            "country_code": "US",
            "telephone_number": "409-772-1193",
            "fax_number": "409-772-5297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 8th Ave Ste 570",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044145",
            "country_code": "US",
            "telephone_number": "817-332-6667 x113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q4969",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "Q4969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.