Organization
Medistat Group Associates, Inc.
Provider's NPPES record last updated: October 5, 2008
Overview
- Entity Type
- Organization
- NPI
- 1376565341
- Primary Specialty
- Family Medicine — Adult Medicine
- Practice Location
- Desoto, Texas
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 7:37 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Adult Medicine
Allopathic & Osteopathic Physicians
The NUCC recommends this code not be used. Choose a more appropriate code.
Taxonomy code 207QA0505X Physical Medicine & Rehabilitation
Pain Medicine
Allopathic & Osteopathic Physicians
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Taxonomy code 2081P2900XPulmonary Function Technologist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
An individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary function testing equipment. In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance. Tests results are calculated, compared with predicted normal ranges, and evaluated for reliability. The technologist collects clinical history data and evaluates the clinical implications of the test results.
Taxonomy code 225B00000XRespiratory Therapist, Certified
Pulmonary Rehabilitation
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
The respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program. It includes bronchopulmonary drainage, exercise therapy, and patient education.
Taxonomy code 2278P1005XClinic/Center
Health Service
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QH0100XNurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2200XNurse Practitioner
Primary Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP2300X
Provider-Reported License Information
- Clinic/Center (Texas)
- G6955
Practice Locations
Practice Location
2617 Bolton Boone Dr
Suite B
Desoto, Texas 75115-2074
Phone: (972) 709-1781
Record Information
- Enumeration Date
- July 25, 2006
- Provider's NPPES Record Last Updated
- October 5, 2008
- NPISignal NPPES Dataset
- August 2026
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