Individual provider Active NPI

Lucrecia Trabanino Sta Ana, MD

  • Colon & Rectal Surgery Physician
  • Katy, TX
National Provider Identifier
1760633176
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
Q6291 Issued in TX
Practice address
23920 Katy Fwy Ste 410
Katy, TX 77494-1341
Phone
(713) 772-1200
Fax
(281) 693-3522
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Q6291 TX
Surgery Physician 208600000X ME101237 FL
Colon & Rectal Surgery Physician 208C00000X ME101237 FL
Colon & Rectal Surgery Physician 208C00000X Q6291 TX Primary

Addresses

Primary practice location

23920 Katy Fwy Ste 410
Katy, TX 77494-1341

Mailing address

13811 Murphy Rd
Stafford, TX 77477-4903
Phone (713) 772-1200

Other practice location 1

915 Gessner Rd Ste 670
Houston, TX 77024-2554
Phone (713) 772-1200

Other identifiers 5

IdentifierTypeStateIssuer
146KEOtherFLBCBS OF FL
001458700MedicaidFL
P00850343OtherFLRR MEDICARE
1760633176OtherNPI
351857301MedicaidTX

Other names 1

  • Dr. Lucrecia Trabanino Former 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
I20151209000504 TX Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 0749327930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Surgical Associates LLPGroup PAC ID 3072553734, 19 clinicians

Practice addresses (Care Compare)

13811 Murphy Rd
Stafford, TX 77477-4903
Phone (713) 772-1200

23920 Katy Fwy
Suite 410
Katy, TX 77494-0881
Phone (713) 772-1200

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Townsen Memorial Hospital Hospital, Humble, TX, CCN 670266

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
85
Promoting interoperability
98
Improvement activities
40
Cost
83.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6291TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Surgical Associates LLP CurrentSince Oct 1, 2015 Accepting new patients
Swsa VBC PLLC Surgery PastSince Jun 4, 2023 Accepting new patients
Osceola Surgical Associates LLC Surgery Past Accepting new patients

Locations

915 Gessner Rd
Ste 670
Houston, TX 77024

23920 Katy Fwy
Ste 410
Katy, TX 77494
Phone (832) 437-1410

13811 Murphy Rd
Stafford, TX 77477
Phone (713) 255-6300

Interoperability endpoints

  • Direct secure messaging: lucrecia.staana@sws.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1760633176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 MURPHY RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774903",
            "telephone_number": "713-772-1200",
            "fax_number": "713-255-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 410",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941341",
            "telephone_number": "713-772-1200",
            "fax_number": "281-693-3522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Gessner Rd Ste 670",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242554",
            "country_code": "US",
            "telephone_number": "713-772-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STA ANA",
        "first_name": "LUCRECIA",
        "middle_name": "TRABANINO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q6291",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME101237",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME101237",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "Q6291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "146KE",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001458700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00850343",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760633176",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351857301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCRECIA",
            "last_name": "TRABANINO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.