Active NPI
Malinda Hansen, D.O.
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R3097
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100619250 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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 100
- Quality
- 76.45
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10053131 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Texas Health Science Center at Fort Worth | Family Medicine | 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 | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Family Medicine | Current | 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
- 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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Fort Worth, TX
- NPI 1376645564
-
- Internal Medicine Physician
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- NPI 1053416289
-
- Family Medicine Physician
- Dallas, TX
- NPI 1639843790
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1659473056
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1699870998
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
Family Medicine
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1033181078
Neuromusculoskeletal Medicine & Omm
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1417054024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.