Individual provider Active NPI

Michael Joe Statton, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1700955192
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42441 Issued in AZ
Practice address
7330 San Pedro Ave Ste 540
San Antonio, TX 78216-6250
Phone
(210) 344-7287
Fax
(210) 344-2649
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 76967 AZ
Internal Medicine Physician 207R00000X 42441 AZ Primary
Internal Medicine Physician 207R00000X Q1510 TX

Addresses

Primary practice location

7330 San Pedro Ave Ste 540
San Antonio, TX 78216-6250

Mailing address

7330 San Pedro Ave Ste 540
San Antonio, TX 78216-6250
Phone (210) 344-7287

Other identifiers 1

IdentifierTypeStateIssuer
341316301MedicaidTX

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
I20141202000466 TX Practitioner - Internal Medicine 8527206291 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Antonio Internists PLLCGroup PAC ID 1951700152, 3 clinicians
Lone Star Extensivists PLLCGroup PAC ID 3971036427, 10 clinicians

Practice addresses (Care Compare)

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

29924 FM
Suite 3009
New Braunfels, TX 78132-2637
Phone (830) 620-0330

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42441AZMDInternal Medicine Physician
Q1510TXMDInternal Medicine Physician
76967AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Lone Star Extensivists PLLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Inpatient Medicine Physicians PA CurrentSince Feb 1, 2026 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
Inpatient Consultants of Texas, PLLC Internal Medicine Past Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine Past Accepting new patients

Locations

11801 South Fwy
#I35W
Burleson, TX 76028
Phone (817) 293-4304

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700955192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE STE 540",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166250",
            "telephone_number": "210-344-7287",
            "fax_number": "210-344-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE STE 540",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166250",
            "telephone_number": "210-344-7287",
            "fax_number": "210-344-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATTON",
        "first_name": "MICHAEL",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "76967",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "42441",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q1510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341316301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.