Individual provider

Eric Hubli, M.D.

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Plastic Surgery Physician Medicare enrolled

Eric Hubli, M.D. is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Fort Worth, TX, registered under NPI 1417906934. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1500 COOPER ST, Fort Worth, TX 76104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1500 COOPER ST, Fort Worth, TX 76104 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
J3499 TX Plastic Surgery Within the Head and Neck… primary
J3499 TX Plastic Surgery Physician

This provider holds licence J3499 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Plastic And Reconstructive Surgery
PAC ID
3779555784
Enrollment ID
I20040810001186

Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Plastic Surgery Within the Head and Neck covers

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. NUCC Health Care Provider Taxonomy, code 2082S0099X
Allopathic & Osteopathic Physicians Plastic Surgery Plastic Surgery Within the Head and Neck

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2082S0099X Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Plastic Surgery Within the Head and Neck J3499 TX primary
208200000X Plastic Surgery Physician J3499 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417906934 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 10, 2006
Last updatedApr 27, 2021
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1500 COOPER ST
Fort Worth, TX 76104
(682) 885-2500
Fax (682) 885-2510
Mailing address PO BOX 733784
Dallas, TX 75373
The last update on file is Apr 27, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417906934 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 9 0 6 9 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 9 0 3 9 6

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417906934?
NPI 1417906934 is the National Provider Identifier assigned to Eric Hubli, M.D. in Fort Worth, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic Surgery Within the Head and Neck cover?
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide…
How do I contact Eric Hubli, M.D.?
The phone number on file with NPPES is (682) 885-2500, last updated Apr 27, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Eric Hubli, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417906934 a valid number?
Yes. 1417906934 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.