P Praxis·MD
● Active Type 1 · Individual

Mary Beth Madonna, MD

Surgery·San Antonio, TX· NPI 1265427108 · Enumerated 2005 · 20 years on NPI
Madonna is 1 of 22 surgery providers in San Antonio and 1 of 138 in Texas.
NPI age
20 years
Enumerated 2005-09-16
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-11-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 138 active surgery providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 62% — 37% of peers are multi-state
Subspecialties
0
58% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
333 N Santa Rosa
San Antonio, TX 782073108
📞 2107044100
Mailing address
333 N Santa Rosa
San Antonio, TX 782073108
📞 2107044100

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2300 N Childrens Plz
Chicago, IL 606143363
📞 6307892550
Location 3
1555 Barrington Rd Lowr Level
Hoffman Estates, IL 601691019
📞 8474904222

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
    TX license #U0254IL license #036-083049 taxonomy 2086S0120X

Identifiers

TypeValueNotes
05 (IL) 036083049
01 (IL) 1627123 BCBS PROVIDER ID
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 246 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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