Individual provider Active NPI

Vicki Satir, MD

  • Family Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1700988516
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6500 Issued in TX
Practice address
4942 NE Stallings Dr
Nacogdoches, TX 75965-1265
Phone
(936) 560-9595
Fax
(936) 462-7772
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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 K6500 TX Primary

Addresses

Primary practice location

4942 NE Stallings Dr
Nacogdoches, TX 75965-1265

Mailing address

PO Box 631940
Nacogdoches, TX 75963-1940
Phone (936) 560-9595

Other identifiers 3

IdentifierTypeStateIssuer
8G6391OtherTXBLUE CROSS INDIVIDUAL
030576503MedicaidTX
153214502OtherTXTHSTEPS ID

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
I20100921001545 TX Practitioner - Family Practice 5890854137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satir and Satir, PAGroup PAC ID 3173682416, 2 clinicians

Practice addresses (Care Compare)

4942 NE Stallings Dr
Nacogdoches, TX 75965-1265
Phone (936) 560-9595

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6500TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Satir and Satir, PA Family Medicine CurrentSince Sep 3, 2002 Accepting new patients

Locations

4942 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 560-9595

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73183

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.

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1700988516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631940",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759631940",
            "telephone_number": "936-560-9595",
            "fax_number": "936-462-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4942 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651265",
            "telephone_number": "936-560-9595",
            "fax_number": "936-462-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATIR",
        "first_name": "VICKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL",
            "identifier": "8G6391",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030576503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THSTEPS ID",
            "identifier": "153214502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.