Individual provider Active NPI

Michael Ernest John Archuleta, M.D.

  • Legal Medicine (M.D./D.O.) Physician
  • Lakeway, TX
National Provider Identifier
1598815748
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X
License
H9491 Issued in TX
Practice address
1100 Lakeway Dr Ste 101
Lakeway, TX 78734-4480
Phone
(512) 413-7500
Fax
(512) 266-4646
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H9491 TX
Legal Medicine (M.D./D.O.) Physician 209800000X H9491 TX Primary

Addresses

Primary practice location

1100 Lakeway Dr Ste 101
Lakeway, TX 78734-4480

Mailing address

PO Box 340639
1100 Lakeway Drive, Suite 101
Austin, TX 78734-0011
Phone (512) 413-7500

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H9491TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Archuleta MD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1598815748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340639",
            "address_2": "1100 LAKEWAY DRIVE, SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787340011",
            "telephone_number": "512-413-7500",
            "fax_number": "512-266-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKEWAY DR STE 101",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344480",
            "telephone_number": "512-413-7500",
            "fax_number": "512-266-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "MICHAEL",
        "middle_name": "ERNEST JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9491",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "H9491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.