Individual provider Active NPI

Michaele H Enghardt, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Denton, TX
National Provider Identifier
1639233943
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
J9671 Issued in TX
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036287304MedicaidTX

Other names 1

  • Ms. Michaele Enghardt Other name

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
I20171023000434 TX Order and Referring Only - PathologyPractitioner - Pathology 6204890882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9671TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.