Individual provider Active NPI

Michael Martin Hatch, M.D.

  • Dermatology Physician
  • Waco, TX
National Provider Identifier
1831551092
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S8999 Issued in TX
Practice address
7106 Sanger Rd
Waco, TX 76712-3928
Phone
(542) 537-1265
NPI assigned
Mar 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X S8999 TX
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X S8999 TX Primary

Addresses

Primary practice location

7106 Sanger Rd
Waco, TX 76712-3928

Mailing address

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3431

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
I20210225001368 TX Practitioner - Dermatology 3476840588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision94
Removal of skin lesions513
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince Mar 1, 2021 Accepting new patients
Epiphany Dermatology of Georgia, LLC Dermatology PastSince Mar 1, 2021 Accepting new patients
Academy Dermatologists Group LLC Dermatology PastSince May 16, 2021 Accepting new patients
Nocturna of Waco LP PastSince Mar 1, 2021 Accepting new patients

Locations

20800 W Market St
Buckeye, AZ 85396

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

2405 Clear Creek Rd
Ste 104
Killeen, TX 76549
Phone (254) 432-8330

211 N Industrial Dr
Waco, TX 76710
Phone (254) 424-9127

7106 Sanger Rd
Woodway, TX 76712
Phone (254) 537-1265

Interoperability endpoints

  • Direct secure messaging: martin.hatch@epiphanyderm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1831551092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 SANGER RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123928",
            "telephone_number": "542-537-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "MICHAEL",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "S8999",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S8999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.