Individual provider Active NPI

Audrey Bettina Miklius, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Dallas, TX
National Provider Identifier
1689628257
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
K1877 Issued in TX
Practice address
10260 N Central Expy Ste 100N
Dallas, TX 75231-3437
Phone
(214) 363-5535
Fax
(214) 368-2760
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X K1877 TX Primary

Addresses

Primary practice location

10260 N Central Expy Ste 100N
Dallas, TX 75231-3437

Mailing address

10260 N Central Expy Ste 100N
Dallas, TX 75231-3437
Phone (214) 363-5535

Other identifiers 3

IdentifierTypeStateIssuer
84680JOtherTXBCBS
4415210OtherTXAETNA
PO84680JMedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address audrey.miklius.1@11319.direct.athenanet.com

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
I20110119001221 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 1355387333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

10260 N Central Expy
100N
Dallas, TX 75231-3437
Phone (214) 363-5535

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-2139

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

Merit-based Incentive Payment System (MIPS)

Final score
92.51 of 100Reported as apm
Quality
85.62
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1877TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Jan 9, 2023 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Jan 9, 2023 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

10260 N Central Expy
Ste 100N
Dallas, TX 75231
Phone (214) 265-2120

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: audrey.miklius.1@8042.direct.athenahealth.com
  • Direct secure messaging: audrey.miklius@401.chartlogic.direct-ci.com

Organizations & group practices 3

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 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1689628257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 N CENTRAL EXPY STE 100N",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313437",
            "telephone_number": "214-363-5535",
            "fax_number": "214-368-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 N CENTRAL EXPY STE 100N",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313437",
            "telephone_number": "214-363-5535",
            "fax_number": "214-368-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLIUS",
        "first_name": "AUDREY",
        "middle_name": "BETTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "K1877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84680J",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4415210",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO84680J",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey.miklius.1@11319.direct.athenanet.com",
            "affiliation": "N",
            "address_1": "10260 N Central Expy Ste 100N",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752313437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.