Active NPI
Alan Bart Mickish, M.D.
- Family Medicine Physician
- Eastland, TX
National Provider Identifier
1215045240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E1059
- Practice address
- 400 W Plummer
Eastland, TX 76448 - Phone
- (254) 629-1744
- Fax
- (254) 629-3904
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E1059 | TX | Primary |
Addresses
Primary practice location
400 W Plummer
Eastland, TX 76448
Mailing address
PO Box 1429
Eastland, TX 76448-1429
Phone (254) 629-1744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1210627-01 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081023000775 | TX | Practitioner - Family Practice | 1052489093 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- B and W Healthcare Associates PA
Practice addresses (Care Compare)
400 W Plummer
Eastland, TX 76448-2627
Phone (254) 629-1744
Hospital & facility affiliations
- Enhabit Home Health
- Centerwell Home Health
- Solaris Hospice Inc
- Eastland Memorial Hospital
- Eastland Memorial Hospital
- Hendrick Medical Center
- Avir at Woodlands
- Premier Health Care Center
- Avir at Cisco
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.35 of 100
- Quality
- 58.35
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 38 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & W Healthcare Associates PA | Family Medicine | Current | Accepting new patients |
| Eastland Memorial Hospital District | Past | Accepting new patients | |
| B & W Clinic PA | Family Medicine | Past | Accepting new patients |
Locations
400 W Plummer St
Eastland, TX 76448
Phone (254) 629-1744
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDHAED/Endpoint/HDHAED
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Woodlands | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2025 Mar 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Eastland, TX
- NPI 1104870435
Adp of the SNF, Operational/Managerial Control
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Eastland, TX
- NPI 1265695290
Family Medicine, TX
-
- Skilled Nursing Facility
- Eastland, TX
- NPI 1104870435
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Eastland, TX
- NPI 1104870435
Nursing home
-
- Home Health Agency
- Abilene, TX
- NPI 1942227459
-
- Home Health Agency
- Eastland, TX
- NPI 1326057779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1215045240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1429",
"city": "EASTLAND",
"state": "TX",
"postal_code": "764481429",
"telephone_number": "254-629-1744",
"fax_number": "254-629-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W PLUMMER",
"city": "EASTLAND",
"state": "TX",
"postal_code": "76448",
"telephone_number": "254-629-1744",
"fax_number": "254-629-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKISH",
"first_name": "ALAN",
"middle_name": "BART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E1059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1210627-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eastland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.