Lion Star Nacogdoches Hospital, LLC
NPI 1316616550 · Family Medicine Physician · Nacogdoches, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lion Star Nacogdoches Hospital, LLC is a Family Medicine Physician organization in Nacogdoches, TX (NPI 1316616550).
Provider details
- NPI number
- 1316616550
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lion Star Nacogdoches Hospital, LLC
- Organization subpart
- Yes
- Authorized official
- Matthew Malloy, Director of Operations(936) 568-8427
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Nacogdoches Memorial Professional Group
- Doing business as
- Nacogdoches Memorial Professional Group
Registry dates
- Enumerated
- 2021-09-10
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Frequently asked questions
- What is Lion Star Nacogdoches Hospital, LLC's NPI number?
- Lion Star Nacogdoches Hospital, LLC's National Provider Identifier (NPI) is 1316616550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lion Star Nacogdoches Hospital, LLC?
- Lion Star Nacogdoches Hospital, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lion Star Nacogdoches Hospital, LLC located?
- Lion Star Nacogdoches Hospital, LLC's practice location on file with NPPES is 1204 N Mound St, Nacogdoches, TX 75961-4027.
- What is Lion Star Nacogdoches Hospital, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lion Star Nacogdoches Hospital, LLC is (936) 568-8427.
- Does Lion Star Nacogdoches Hospital, LLC accept Medicare?
- Lion Star Nacogdoches Hospital, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lion Star Nacogdoches Hospital, LLC?
- The authorized official listed on Lion Star Nacogdoches Hospital, LLC's NPPES record is Matthew Malloy, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lion Star Nacogdoches Hospital, LLC's NPI active?
- Yes — Lion Star Nacogdoches Hospital, LLC's NPI (1316616550) is active in the NPPES registry as of the last update on 2023-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.