Active NPI
Michaele H Enghardt, MD
- Anatomic Pathology & Clinical Pathology Physician
- Denton, TX
National Provider Identifier
1639233943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- J9671
- Practice address
- 2813 S Mayhill Road
Integrity Transitional Hospital
Denton, TX 76208 - Phone
- (210) 445-7370
- NPI assigned
- Dec 21, 2006
- Last updated
- Jun 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | J9671 | TX | Primary |
Addresses
Primary practice location
2813 S Mayhill Road
Integrity Transitional Hospital
Denton, TX 76208
Mailing address
PO Box 2134
Boerne, TX 78006-3602
Phone (210) 445-7370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036287304 | Medicaid | TX |
Other names 1
- Ms. Michaele Enghardt
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 |
|---|---|---|---|---|
| I20171023000434 | TX | Order and Referring Only - Pathology | 6204890882 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9671 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians Southwest, PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1639233943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2134",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063602",
"telephone_number": "210-445-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 S MAYHILL ROAD",
"address_2": "INTEGRITY TRANSITIONAL HOSPITAL",
"city": "DENTON",
"state": "TX",
"postal_code": "76208",
"telephone_number": "210-445-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGHARDT",
"first_name": "MICHAELE",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "J9671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036287304",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAELE",
"last_name": "ENGHARDT",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.