Individual provider Active NPI

Ana Trevino Sauceda, M.D.

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1497764302
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M2077 Issued in TX
Practice address
2829 Babcock Rd
Suite 636
San Antonio, TX 78229-6014
Phone
(210) 615-8460
Fax
(210) 615-0406
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X M2077 TX Primary
Internal Medicine Physician 207R00000X M2077 TX

Addresses

Primary practice location

2829 Babcock Rd
Suite 636
San Antonio, TX 78229-6014

Mailing address

2829 Babcock Rd
Suite 636
San Antonio, TX 78229-6014
Phone (210) 615-8460

Other identifiers 1

IdentifierTypeStateIssuer
177483804MedicaidTX

Other names 1

  • Ana T Sauceda Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000270 TX Practitioner - DermatologyPractitioner - Internal Medicine 6002836863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ana T Sauceda MD PLLCGroup PAC ID 0648317792, 4 clinicians

Practice addresses (Care Compare)

2829 Babcock Rd
Suite 636
San Antonio, TX 78229-6014
Phone (210) 615-8460

Merit-based Incentive Payment System (MIPS)

Final score
98.42 of 100Reported as individual
Quality
96.84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions907
Removal or shaving of skin growth1-10
Skin biopsy331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ana T Sauceda MD PLLC Dermatology CurrentSince Oct 6, 2009 Accepting new patients

Locations

2829 Babcock Rd
Ste 636
San Antonio, TX 78229
Phone (210) 615-8460

Interoperability endpoints

  • Direct secure messaging: trevinoap@saucedaderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1497764302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD",
            "address_2": "SUITE 636",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296014",
            "telephone_number": "210-615-8460",
            "fax_number": "210-615-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD",
            "address_2": "SUITE 636",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296014",
            "telephone_number": "210-615-8460",
            "fax_number": "210-615-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDA",
        "first_name": "ANA",
        "middle_name": "TREVINO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M2077",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177483804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "SAUCEDA",
            "middle_name": "T",
            "credential": "PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.