Active NPI
Amy A Huber, MD
- MOHS-Micrographic Surgery Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- MD35480
- Practice address
- 1455 Union Ave
Memphis, TN 38104-6727 - Phone
- (901) 726-6655
- Fax
- (901) 726-9056
- NPI assigned
- Mar 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | MD35480 | TN | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | MD35480 | TN | Primary |
| Dermatopathology Physician | 207ND0900X | MD35480 | TN |
Addresses
Primary practice location
1455 Union Ave
Memphis, TN 38104-6727
Mailing address
1455 Union Ave
Memphis, TN 38104-6727
Phone (901) 726-6655
Other practice location 1
795 Ridge Lake Blvd Ste 200
Memphis, TN 38120-9475
Phone (901) 726-6655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- University of Tennessee, HSC, College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1455 Union Ave
Memphis, TN 38104-6727
Phone (901) 726-6655
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.3 of 100
- Quality
- 62.61
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 82 |
| Removal of skin lesions | 686 |
| Removal of skin cancer | 1030 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 753 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD35480 | TN | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Dermatology Clinic PA | Mohs-Micrographic Surgery | Current | Accepting new patients |
Locations
1455 Union Ave
Memphis, TN 38104
Phone (901) 726-6655
795 Ridge Lake Blvd
Ste 200
Memphis, TN 38120
Phone (901) 726-6655
Organizations & group practices 1
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
- Memphis, TN
- NPI 1366416653
Mohs-Micrographic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1215904602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046727",
"telephone_number": "901-726-6655",
"fax_number": "901-726-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046727",
"telephone_number": "901-726-6655",
"fax_number": "901-726-9056"
}
],
"practiceLocations": [
{
"address_1": "795 Ridge Lake Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381209475",
"country_code": "US",
"telephone_number": "901-726-6655",
"fax_number": "901-726-9056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBER",
"first_name": "AMY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "TN",
"license": "MD35480",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "TN",
"license": "MD35480",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "TN",
"license": "MD35480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.