Active NPI
Richard B Lutton, M.D.
- Family Medicine Physician
- Bandera, TX
National Provider Identifier
1114921152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G6787
- Practice address
- 1050 Hwy 16 S
Bandera, TX 78003 - Phone
- (830) 796-7713
- Fax
- (830) 796-7744
- NPI assigned
- Jun 8, 2005
- Last updated
- Jun 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G6787 | TX | Primary |
Addresses
Primary practice location
1050 Hwy 16 S
Bandera, TX 78003
Mailing address
1051 US Highway 90 E
Castroville, TX 78009-5210
Phone (830) 931-3336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126866608 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Emergency Associates LLC | Past | Accepting new patients | |
| South Texas Hospitalist Associates LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Uvalde, TX
- NPI 1790045664
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1407917164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1114921152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 US HIGHWAY 90 E",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780095210",
"telephone_number": "830-931-3336",
"fax_number": "830-931-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 HWY 16 S",
"city": "BANDERA",
"state": "TX",
"postal_code": "78003",
"telephone_number": "830-796-7713",
"fax_number": "830-796-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTON",
"first_name": "RICHARD",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G6787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126866608",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bandera, TX
- Angela Leyva, LCDCI
- Julie Lloyd-Atkinson, LCDC. AADC. CPS. CCJ
- Caroline Locke, LCSW
- Lonestar Sleep Solutions, LLC
- Lullaby Tribe, LLC
- Robbin Denise Lynch, LCDC
- Magnolia Mental Health (Main Street Mental Health)
- Emily-Ann Lauren Mathis, FNP-C
- Allison Dawn May
- McCrae Managment and Investments, Inc (Newsound Hearing Aid Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.