DR. MARC STEVEN TRAEGER M.D. NPI 1639185739

NPI Information

  • NPI: 1639185739
  • Provider Name: DR. MARC STEVEN TRAEGER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 801 ENCINO PL NE STE 14
    ALBUQUERQUE, NM
    ZIP 87102
  • Phone: (505) 272-1777

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NPI Details

DR. Marc Steven Traeger, M.D. is a family medicine in Albuquerque, NM with 40 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Marc Steven Traeger, M.D. NPI is 1639185739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

801 ENCINO PL NE STE 14
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 272-1777
Fax: (505) 272-2360

The NPI 1639185739 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 7/31/2006 and was last updated on 8/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine17404ARIZONANo
2207Q00000XFamily MedicineMD2018-0258NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11629236716MEDICAIDARIZONA
21780614008MEDICAIDARIZONA
31295993376MEDICAIDARIZONA
4409715MEDICAIDARIZONA
51871523191MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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