Individual provider Active NPI

San Myat Htun

  • Internal Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1487216354
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T9407 Issued in TX
Practice address
1631 11TH Street
Unit B
Wichita Falls, TX 76301-1122
Phone
(940) 263-3000
Fax
(940) 263-3018
NPI assigned
Jul 1, 2019
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T9407 TX Primary

Addresses

Primary practice location

1631 11TH Street
Unit B
Wichita Falls, TX 76301-1122

Mailing address

1631 11TH Street
Unit B
Wichita Falls, TX 76301-1122
Phone (940) 263-3000

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
I20221006001323 TX Practitioner - HospitalistPractitioner - Internal Medicine 8628454188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Magna Health PLLCGroup PAC ID 0749540045, 26 clinicians

Practice addresses (Care Compare)

1600 11TH St
Wichita Falls, TX 76301-4300
Phone (940) 263-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T9407TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc General Acute Care Hospital Current Accepting new patients
La Magna Health PLLC CurrentSince Sep 14, 2022 Accepting new patients

Locations

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

1631 11th St
Unit B
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: shtun73006@unitedregional.medalliesdirect.net

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.

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1487216354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 11TH STREET",
            "address_2": "UNIT B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011122",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 11TH STREET",
            "address_2": "UNIT B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011122",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HTUN",
        "first_name": "SAN",
        "middle_name": "MYAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T9407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.