Individual provider Active NPI

Malinda Hansen, D.O.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1609257971
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3097 Issued in TX
Practice address
855 Montgomery St
Fort Worth, TX 76107-2553
Phone
(817) 735-2238
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X R3097 TX
Family Medicine Physician 207Q00000X BP10053131 TX
Sports Medicine (Family Medicine) Physician 207QS0010X R3097 TX
Family Medicine Physician 207Q00000X R3097 TX Primary

Addresses

Primary practice location

855 Montgomery St
Fort Worth, TX 76107-2553

Mailing address

855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-2235

Other identifiers 1

IdentifierTypeStateIssuer
7100619250MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.unthsc.edu/patient-care/specialties/osteopathic-manipulative-medicine/ Direct

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
I20200803003052 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7214267012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-5418

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as apm
Quality
76.45
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10053131TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Texas Health Science Center at Fort Worth Family Medicine CurrentSince Sep 3, 2020 Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Family Medicine CurrentSince Sep 3, 2020 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Neuromusculoskeletal Medicine & Omm Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Past Accepting new patients
University of North Texas Health Science Center at Fort Worth Neuromusculoskeletal Medicine & Omm Past Accepting new patients

Locations

2401 Terra Crossing Blvd
Ste 101
Louisville, KY 40245
Phone (502) 210-4600

215 Central Ave
Ste 102
Louisville, KY 40208
Phone (502) 588-8720

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

855 Montgomery St
Fl 1
Fort Worth, TX 76107
Phone (817) 735-2363

855 Montgomery St
Fl 6
Fort Worth, TX 76107
Phone (817) 735-2235

3440 Camp Bowie Blvd
Fort Worth, TX 76107
Phone (817) 735-2363

3430 Camp Bowie Blvd
Fl 1
Fort Worth, TX 76107
Phone (817) 735-5051

855 Montgomery St
#M
Fort Worth, TX 76107
Phone (817) 735-2235

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

3500 Camp Bowie Blvd
Ft Worth, TX 76107
Phone (817) 735-2000

Interoperability endpoints

  • Direct secure messaging: malinda.hansen.p1@direct.unthsc.nextgenshare.com

Organizations & group practices 8

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1609257971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MALINDA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "R3097",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10053131",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "R3097",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R3097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100619250",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.unthsc.edu/patient-care/specialties/osteopathic-manipulative-medicine/",
            "affiliation": "N",
            "endpointDescription": "OMM clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "855 Montgomery St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761072553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.