Individual provider Active NPI

Sean Hattenbach, M.D.

  • Family Medicine Physician
  • Gonzales, TX
National Provider Identifier
1225415359
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3098 Issued in TX
Practice address
1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone
(830) 672-8502
Fax
(830) 541-5557
NPI assigned
Apr 27, 2015
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 R3098 TX Primary

Addresses

Primary practice location

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311

Mailing address

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone (830) 672-8502

Other practice location 1

228 Saint George St
Gonzales, TX 78629-3910
Phone (830) 672-7581

Other practice location 2

4206 Retama Cir
Victoria, TX 77901-2757
Phone (361) 576-2110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhgshattenbach@gonzhealthsys.cernerdirect.com Direct

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
I20180524001372 TX Practitioner - Family Practice 9234437435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gonzales Healthcare SystemsGroup PAC ID 8527963776, 35 clinicians
Community Health Centers of South Central Texas, Inc.Group PAC ID 4688650328, shared by 8 NPIs, 9 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone (830) 672-7581

228 Saint George St
Gonzales, TX 78629-3910
Phone (830) 672-6511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3098TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gonzales Healthcare Systems Family Medicine Current Accepting new patients
Gonzales Healthcare Systems CurrentSince Aug 1, 2018 Accepting new patients
Gonzales Healthcare Systems CurrentSince Aug 1, 2018 Accepting new patients
Community Health Centers of South Central Texas, Inc. Past Accepting new patients
Gonzales Healthcare Systems Past Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1818 E US Highway 90
Waelder, TX 78959
Phone (830) 788-7280

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mhgshattenbach@gonzhealthsys.cernerdirect.com

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1225415359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N SARAH DEWITT DR",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293311",
            "telephone_number": "830-672-8502",
            "fax_number": "830-541-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N SARAH DEWITT DR",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293311",
            "telephone_number": "830-672-8502",
            "fax_number": "830-541-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Saint George St",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "TX",
            "postal_code": "786293910",
            "country_code": "US",
            "telephone_number": "830-672-7581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4206 Retama Cir",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779012757",
            "country_code": "US",
            "telephone_number": "361-576-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTENBACH",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R3098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhgshattenbach@gonzhealthsys.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Micorsoft word",
            "address_1": "1110 N Sarah DeWitt Dr",
            "city": "Gonzales",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786293311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gonzales, TX

Sources for this page

Verify at the official NPI Registry.