Individual provider Active NPI

Rusty Allen Milhoan, MD

  • Specialist
  • Arlington, TX
National Provider Identifier
1811964216
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H1303 Issued in TX
Practice address
3150 Matlock Rd
Suite 401
Arlington, TX 76015-2992
Phone
(817) 375-9790
Fax
(817) 375-9791
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H1303 TX Primary
Surgery Physician 208600000X H1303 TX

Addresses

Primary practice location

3150 Matlock Rd
Suite 401
Arlington, TX 76015-2992

Mailing address

3150 Matlock Rd
Suite 401
Arlington, TX 76015-2992
Phone (817) 375-9790

Other identifiers 4

IdentifierTypeStateIssuer
139964401MedicaidTX
2319377OtherTXBLUECROSSBLUESHIELD
5700162OtherTXAETNA
161676686OtherTXTRICARE

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
I20040629000972 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 1759363211 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
University of Texas Medical School at San Antonio, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Critical Care PAGroup PAC ID 6103041637, 79 clinicians
Urgent Surgery Associates PAGroup PAC ID 0042122137, 58 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (214) 821-1599

2710 Swiss Ave
Dallas, TX 75204-5900
Phone (214) 821-1599

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

Hospital & facility affiliations

  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Baylor Scott & White Emergency Hospital Hospital, Aubrey, TX, CCN 670062

Merit-based Incentive Payment System (MIPS)

Final score
98.87 of 100Reported as group
Quality
90.89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50916CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Associates of North Texas P a Surgery Current Accepting new patients
Texas Trauma Medical Group, PLLC CurrentSince May 27, 2024 Accepting new patients
Surgery Associates of NTX, PLLC Surgery CurrentSince Jun 21, 2024 Accepting new patients
Anesthesia Services of Southeast Texas PastSince Jun 1, 2002 Accepting new patients
C H Wilkinson Physician Network Past Accepting new patients
Rusty a. Mlhoan, MD PA Surgery PastSince Jan 1, 1990 Accepting new patients
Elite Orthopaedics of Irving PLLC PastSince Dec 16, 2012 Accepting new patients
JPS Physician Group Inc Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

100 E Alton Gloor Blvd
Ste 210
Brownsville, TX 78526
Phone (956) 350-7105

3322 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (817) 387-7588

3537 S Interstate 35 E
Ste 318
Denton, TX 76210
Phone (214) 334-1125

101 Rim Rd
Ste 300B
El Paso, TX 79902
Phone (915) 263-7080

10201 Gateway Blvd W
Ste 130
El Paso, TX 79925
Phone (915) 594-1000

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

6750 N MacArthur Blvd
Ste 270
Irving, TX 75039
Phone (214) 222-8150

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Organizations & group practices 10

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 6

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1811964216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 MATLOCK RD",
            "address_2": "SUITE 401",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152992",
            "telephone_number": "817-375-9790",
            "fax_number": "817-375-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 MATLOCK RD",
            "address_2": "SUITE 401",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152992",
            "telephone_number": "817-375-9790",
            "fax_number": "817-375-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILHOAN",
        "first_name": "RUSTY",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H1303",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H1303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139964401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "2319377",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5700162",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "161676686",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.