Individual provider Active NPI

Amy J Hosch, MD

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1881668986
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5560 Issued in TX
Practice address
520 East Douglas Blvd
Tyler, TX 75702
Phone
(903) 593-1721
Fax
(903) 525-1240
NPI assigned
Feb 15, 2006
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5560 TX Primary

Addresses

Primary practice location

520 East Douglas Blvd
Tyler, TX 75702

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450

Other practice location 1

700 S Fleishel Ave
Tyler, TX 75701-2014
Phone (903) 606-5600

Other practice location 2

3593 E Grande Blvd
Tyler, TX 75707-1400
Phone (903) 839-2585

Other identifiers 19

IdentifierTypeStateIssuer
042296602MedicaidTX
75-2616977-002OtherTXTRICARE
75-2616977-01OtherTXTRICARE
75-2616977-028OtherTXTRICARE
75-2616977-066OtherTXTRICARE
75-2616977-118OtherTXTRICARE
8DW075OtherTXBCBS
75-0818167-015OtherTXTRICARE
75-1976930-005OtherTXTRICARE
75-2616977-129OtherTXTRICARE
042296603MedicaidTX
75-0818167-044OtherTXTRICARE
P01279303OtherTXRAIL ROAD
75-0818167-048OtherTXTRICARE
75-0818167-022OtherTXTRICARE
75-2616977-016OtherTXTRICARE
75-2616977-023OtherTXTRICARE
8EZ019OtherTXBCBS
8EZ063OtherTXBCBS

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
I20100108000548 TX Practitioner - Family Practice 6901947209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

3201 S Loop
Palestine, TX 75801-6901

3593 E Grande Blvd
Christus Trinity Clinic
Tyler, TX 75707-1400
Phone (903) 839-2585

3802 Manhatton Dr
Tyler, TX 75701-9451
Phone (903) 509-8888

5414 S Broadway Ave
Christus Mother Frances Hospital
Tyler, TX 75703-1335
Phone (903) 531-5010

800 E Dawson St
Tyler, TX 75701-2036

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5560TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Sep 1, 2003 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Jul 15, 2013 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2003 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Apr 1, 2015 Accepting new patients
Trinity Clinic Family Medicine Past Accepting new patients

Locations

511 N High St
Henderson, TX 75652
Phone (903) 657-7583

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

510 E Commerce St
Jacksonville, TX 75766
Phone (903) 541-2700

3593 E Grande Blvd
Tyler, TX 75707
Phone (903) 606-1664

3802 Manhatton Dr
Tyler, TX 75701
Phone (903) 509-8888

520 Douglas Blvd
Tyler, TX 75702
Phone (903) 510-1175

700 S Fleishel Ave
Tyler, TX 75701
Phone (903) 509-4100

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: ahosch6314@christushealth.direct-ci.net

Organizations & group practices 5

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.

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1881668986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 EAST DOUGLAS BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75702",
            "telephone_number": "903-593-1721",
            "fax_number": "903-525-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Fleishel Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012014",
            "country_code": "US",
            "telephone_number": "903-606-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3593 E Grande Blvd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757071400",
            "country_code": "US",
            "telephone_number": "903-839-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSCH",
        "first_name": "AMY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5560",
            "primary": true
        }
    ],
    "identifiers": [
        {
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            "desc": "MEDICAID",
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        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-002",
            "state": "TX"
        },
        {
            "code": "01",
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        {
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            "identifier": "75-2616977-118",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DW075",
            "state": "TX"
        },
        {
            "code": "01",
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        {
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            "identifier": "75-1976930-005",
            "state": "TX"
        },
        {
            "code": "01",
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            "issuer": "TRICARE",
            "identifier": "75-2616977-129",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042296603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-0818167-044",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P01279303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-0818167-048",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-0818167-022",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-016",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-023",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EZ019",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EZ063",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.