DR. THERESA ANN TRAVIS M.D. NPI 1295778439

NPI Information

NPI: 1295778439
Provider Name: DR. THERESA ANN TRAVIS, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
2516 Q ST
SUITE B
BEDFORD, IN
ZIP 47421
Phone: (812) 275-3328
Get Directions

DR. Theresa Ann Travis, M.D. is a nephrology internal medicine in Bedford, IN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Theresa Ann Travis, M.D. NPI is 1295778439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2516 Q ST
SUITE B
BEDFORD, IN
ZIP 47421-928
Phone: (812) 275-3328
Fax: (812) 279-5977

The NPI 1295778439 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 7/8/2007.

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
1	207RN0300X	Internal Medicine	Nephrology	01036752	INDIANA	Yes

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
1	000000344070	OTHER	INDIANA	ANTHEM BCBS
2	216700A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
3	D69703	MEDICARE UPIN	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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