MEDISTAT GROUP ASSOCIATES, INC.
MEDISTAT GROUP ASSOCIATES, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1376565341, based in Desoto, TX. The organization lists 7 taxonomy classifications, with Adult Medicine Physician recorded as primary.
Getting there
The practice address on file is 2617 BOLTON BOONE DR SUITE B, Desoto, TX 75115. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| G6955 | TX | Health Service Clinic/Center |
This provider holds licence G6955 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Adult Medicine covers
The NUCC recommends this code not be used. Choose a more appropriate code. NUCC Health Care Provider Taxonomy, code 207QA0505X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207QA0505X | Adult Medicine Physician Adult Medicine | — | — | primary |
| 261QH0100X | Health Service Clinic/Center Health Service | G6955 | TX | |
| 363LA2200X | Adult Health Nurse Practitioner Adult Health | — | — | |
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | — | — | |
| 225B00000X | Pulmonary Function Technologist | — | — | |
| 2278P1005X | Pulmonary Rehabilitation Certified Respiratory Therapist Pulmonary Rehabilitation | — | — | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1376565341 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 25, 2006 |
| Last updated | Oct 5, 2008 |
| Status | Active |
| Practice address |
2617 BOLTON BOONE DR SUITE B Desoto, TX 75115 (972) 709-1781 Fax (972) 709-1782 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 7 | 6 | 5 | 6 | 5 | 3 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 1 | 6 | 1 | 3 | 8 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.