NPIMap

Individual provider Active NPI

Lydia Trauth, M.D.

  • Family Medicine Physician
  • Morrilton, AR
National Provider Identifier
1629238795
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E6337 Issued in AR
Practice address
10 Hospital Dr
Morrilton, AR 72110-4510
Phone
(501) 354-0052
Fax
(501) 354-2716
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E6337 AR Primary

Addresses

Primary practice location

10 Hospital Dr
Morrilton, AR 72110-4510

Mailing address

10 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 354-0052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000361 AR Practitioner - Family Practice 7517144736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morrilton Medical Clinic, P.a.Group PAC ID 2860482130, 8 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 354-0052

Hospital & facility affiliations

  • CHI St Vincent Health at Home Home health agency, Morrilton, AR, CCN 047099
  • CHI St Vincent Morrilton Hospital, Morrilton, AR, CCN 041324
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6337ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morrilton Medical Clinic, P.a. CurrentSince Jul 15, 2011 Accepting new patients
Morrilton Medical Clinic, P.a. Family Medicine Current Accepting new patients

Locations

10 Hospital Dr
Morrilton, AR 72110
Phone (501) 354-0052

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morrilton Medical Clinic, P.a.Morrilton, AR, CCN 043878 Rural health clinic 5% Or Greater Direct Ownership Interest (16.66%)
Corporate Officer (16.66%)		 Jul 1, 2012
Jul 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 9

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1629238795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-354-0052",
            "fax_number": "501-354-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-354-0052",
            "fax_number": "501-354-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUTH",
        "first_name": "LYDIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E6337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

Verify at the official NPI Registry.