Active NPI
David C Stat, M.D.
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1952780546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T4682
- Practice address
- 1906 Hether St
Austin, TX 78704-3320 - Phone
- (512) 893-1977
- NPI assigned
- May 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 167185 | CA | |
| Family Medicine Physician | 207Q00000X | T4682 | TX | Primary |
Addresses
Primary practice location
1906 Hether St
Austin, TX 78704-3320
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167185 | CA | MD | Family Medicine Physician |
| T4682 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1952780546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 HETHER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787043320",
"telephone_number": "512-893-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAT",
"first_name": "DAVID",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "167185",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T4682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Sarah Beth Stasica, LMSW
- Alessandra Stasnopolis, MS, RDN, LDN
- William Stassen, M.D.
- Stassney Austin Dental PLLC (River Rock Dental)
- Stassney Smiles, P.C. (River Rock Dental - Stassney)
- State of Texas, Dept. of Aging & Disability, Hcssa (Home & Community Support Services)
- Takara Monique Staten
- States Become Traits
- Stateserv Medical of Texas
- Judith Ann Stathos, RMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.