Individual provider Active NPI

Melissa Marie Hudson, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Fort Worth, TX
National Provider Identifier
1649532953
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
Q4913 Issued in TX
Practice address
2550 River Park PLZ Ste 110
Fort Worth, TX 76116-0921
Phone
(817) 731-1289
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q4913 TX
Geriatric Medicine (Family Medicine) Physician 207QG0300X Q4913 TX Primary

Addresses

Primary practice location

2550 River Park PLZ Ste 110
Fort Worth, TX 76116-0921

Mailing address

104 Rolling Spring Dr
Aledo, TX 76008-4160
Phone (361) 816-8266

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
I20160806000005 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 6709170236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Texas Medical School at San Antonio, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1400 S Main St
Suite 403
Fort Worth, TX 76104-4913
Phone (817) 702-1100

Hospital & facility affiliations

  • All Saints Home Health Care Inc Home health agency, Oak Point, TX, CCN 747221
  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quang Trong Le DO PA Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Aug 2, 2023 Accepting new patients

Locations

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

2550 River Park Plz
Ste 110
Ft Worth, TX 76116
Phone (817) 731-1289

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

1400 S Main St
Ste 403
Ft Worth, TX 76104
Phone (817) 332-5585

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

Organizations & group practices 2

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 2

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1649532953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ROLLING SPRING DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084160",
            "telephone_number": "361-816-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 RIVER PARK PLZ STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160921",
            "telephone_number": "817-731-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q4913",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "Q4913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.