P Praxis·MD
● Active Type 1 · Individual

DR. Scott I Hagedorn, MD

Internal Medicine·San Antonio, TX· NPI 1669634788 · Enumerated 2008 · 17 years on NPI
Hagedorn is 1 of 35 internal medicine providers in San Antonio and 1 of 479 in Texas.
NPI age
17 years
Enumerated 2008-06-30
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
TX, NE
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-04-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 479 active internal medicine providers in Texas.

NPI age
17 years
≈ at median (16 yr)
State licenses
2 states
Top 67% — 32% of peers are multi-state
Subspecialties
2
In the 79% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
5407 Goshen Grove
San Antonio, TX 782475828
📞 2109162153
Mailing address
5407 Goshen Grv
San Antonio, TX 782475848
📞 2109162153

Specialties

  • Internal Medicine Primary
    An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
    TX license #P2255 taxonomy 207RC0200X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    NE license #24072 taxonomy 207R00000X
  • Internal Medicine
    An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
    TX license #P2255 taxonomy 207RP1001X

Identifiers

TypeValueNotes
05 (TX) 330325701
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new internal medicine provider has been added in San Antonio in the last 180 days. See all →
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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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