Individual provider Active NPI

Amy Elisabeth Noffsinger, M.D.

  • Anatomic Pathology Physician
  • Irving, TX
National Provider Identifier
1912059692
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
N8698 Issued in TX
Practice address
6655 N Macarthur Blvd
Irving, TX 75039-2443
Phone
(214) 277-8700
Fax
(214) 596-7484
NPI assigned
Jan 16, 2007
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 036109964 IL
Anatomic Pathology Physician 207ZP0101X N8698 TX Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N8698 TX

Addresses

Primary practice location

6655 N Macarthur Blvd
Irving, TX 75039-2443

Mailing address

PO Box 840294
Dallas, TX 75284-0294
Phone (888) 344-1160

Other identifiers 1

IdentifierTypeStateIssuer
036109964MedicaidIL

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
I20130730000568 TX Practitioner - Pathology 9335038744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Cincinnati College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroplex Pathology AssociatesGroup PAC ID 9638077340, 16 clinicians

Practice addresses (Care Compare)

1111 S Freeport Pkwy
Coppell, TX 75019-4435
Phone (214) 277-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109964ILMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inform Diagnostics, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Academic Pathology Associates Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1111 S Freeport Pkwy
Coppell, TX 75019
Phone (214) 277-8700

6655 N MacArthur Blvd
Irving, TX 75039
Phone (214) 277-8700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1912059692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840294",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840294",
            "telephone_number": "888-344-1160",
            "fax_number": "972-331-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392443",
            "telephone_number": "214-277-8700",
            "fax_number": "214-596-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFFSINGER",
        "first_name": "AMY",
        "middle_name": "ELISABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "IL",
            "license": "036109964",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "N8698",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N8698",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109964",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.