Individual provider Active NPI

Luke Trautmann

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1396210209
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12291 Issued in TX
Practice address
1139 E Sonterra Blvd Ste 401
San Antonio, TX 78258-4987
Phone
(210) 874-3359
Fax
(210) 874-3369
NPI assigned
Oct 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12291 TX Primary

Addresses

Primary practice location

1139 E Sonterra Blvd Ste 401
San Antonio, TX 78258-4987

Mailing address

1139 E Sonterra Blvd Ste 401
San Antonio, TX 78258-4987
Phone (210) 874-3359

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205000664 TX Practitioner - Physician Assistant 6103160965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R Brent Jackson DO PAGroup PAC ID 6204057821, 2 clinicians
PVD Urgent Care LLCGroup PAC ID 5991062200, 6 clinicians

Practice addresses (Care Compare)

155 E Sonterra Blvd
Suite 111
San Antonio, TX 78258-3988
Phone (210) 729-1900

18007 Ih 10
San Antonio, TX 78257-9536
Phone (210) 530-1257

23511 Hardy Oak Blvd
San Antonio, TX 78258-1928
Phone (210) 361-3266

Hospital & facility affiliations

  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12291TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC CurrentSince Aug 1, 2026 Accepting new patients
Mark M. Casillas, M.D., P.a. PastSince Aug 1, 2026 Accepting new patients

Locations

1139 E Sonterra Blvd
Ste 401
San Antonio, TX 78258
Phone (210) 874-3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1538784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1396210209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 401",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584987",
            "telephone_number": "210-874-3359",
            "fax_number": "210-874-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 401",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584987",
            "telephone_number": "210-874-3359",
            "fax_number": "210-874-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUTMANN",
        "first_name": "LUKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.