Individual provider Active NPI

Magdalena C Traudt, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1851304398
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H9724 Issued in TX
Practice address
1202 E Sonterra Blvd Ste 201
San Antonio, TX 78258-4842
Phone
(210) 654-4066
Fax
(210) 654-9134
NPI assigned
Aug 15, 2006
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 H9724 TX Primary

Addresses

Primary practice location

1202 E Sonterra Blvd Ste 201
San Antonio, TX 78258-4842

Mailing address

1202 E Sonterra Blvd Ste 201
San Antonio, TX 78258-4842
Phone (210) 654-4066

Other identifiers 2

IdentifierTypeStateIssuer
8694B0OtherTXBLUE CROSS BLUE SHIELD
122039405MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000707 TX Practitioner - Family Practice 5395765838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

343 W Houston St
Suite 705
San Antonio, TX 78205-2185

PO Box
Suite 592989
San Antonio, TX 78259-0199

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care & Minor Emergency Center, P.a. Family Medicine CurrentSince Apr 1, 2002 Accepting new patients

Locations

1202 E Sonterra Blvd
Ste 201
San Antonio, TX 78258
Phone (210) 654-4066

1202 E Sonterra Blvd
Ste 614
San Antonio, TX 78258
Phone (210) 654-4066

5710 Walzem Rd
Windcrest, TX 78218
Phone (210) 654-4066

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1851304398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584842",
            "telephone_number": "210-654-4066",
            "fax_number": "210-654-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584842",
            "telephone_number": "210-654-4066",
            "fax_number": "210-654-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUDT",
        "first_name": "MAGDALENA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8694B0",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122039405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.