Individual provider Active NPI

Melburn Kenton Huebner, MD

  • Orthopaedic Surgery Physician
  • Amarillo, TX
National Provider Identifier
1356359186
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H0473 Issued in TX
Practice address
1901 Medi Park
Ste 10
Amarillo, TX 79016-2105
Phone
(806) 356-2525
Fax
(806) 356-2527
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H0473 TX Primary

Addresses

Primary practice location

1901 Medi Park
Ste 10
Amarillo, TX 79016-2105

Mailing address

1901 Medi Park
Ste 10
Amarillo, TX 79016-2105
Phone (806) 356-2525

Other identifiers 3

IdentifierTypeStateIssuer
115582100OtherTXFIRST CARE
200007021OtherRAILROAD MEDICARE
089780302MedicaidTX

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
I20101111000500 TX Practitioner - Orthopedic Surgery 1658480769 Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1901 Medi Park Dr
Suite 2053
Amarillo, TX 79106-2169
Phone (806) 356-2525

Hospital & facility affiliations

  • Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reagan Crossnoe M.D P.a. Orthopaedic Surgery PastSince Jun 1, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhuebner84209@ahs.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1356359186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK",
            "address_2": "STE 10",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "790162105",
            "telephone_number": "806-356-2525",
            "fax_number": "806-356-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK",
            "address_2": "STE 10",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "790162105",
            "telephone_number": "806-356-2525",
            "fax_number": "806-356-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBNER",
        "first_name": "MELBURN",
        "middle_name": "KENTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H0473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "115582100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200007021",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089780302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.