Theresa A Travis


Address: 2920 S Mcintire Dr, 100b, Bloomington, IN 47403-4213

Theresa A Travis (NPI# 1295778439, PAC ID# 6204806458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1295778439
PAC ID by PECOS 6204806458
Professional Enrollment ID I20040819000368
Full Name Theresa A Travis
Address 2920 S Mcintire Dr
100b
Bloomington
IN 47403-4213
Gender F
Credential MD
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1983
Primary Specialty NEPHROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150051 INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL
151328 INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL
151335 ST VINCENT DUNN HOSPITAL INC
151306 INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL
151317 GREENE COUNTY GENERAL HOSPITAL

Other Locations

Address Phone Organization
2920 S Mcintire Dr, 100b, Bloomington, IN 47403-4213

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Office Location

Street Address 2920 S MCINTIRE DR
100B
City BLOOMINGTON
State IN
Zip 47403-4213

Physicians in the same location

Name Specialty Organization Address
Elizabeth Mullis Nurse Practitioner Indiana University Health Bloomington Inc 2920 S Mcintire Dr, Suite 103, Bloomington, IN 47403-4213
Joanna Watkins Otolaryngology Indiana University Health Southern Indiana Physicians, Inc 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403-4214
Cheryl Dawn Pittsford Physician Assistant Indiana University Health Southern Indiana Physicians, Inc 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4215
Charlotte I Marks Physician Assistant Indiana University Health Southern Indiana Physicians, Inc 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4215
Brian S Warner Physician Assistant Indiana University Health Southern Indiana Physicians, Inc 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4215
Alexa Helena Niehaus Physician Assistant Indiana University Health Southern Indiana Physicians, Inc 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4215
Tashera Perry Obstetrics/gynecology Indiana University Health Southern Indiana Physicians, Inc 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403-4214
Kimberly S Obringer Audiologist Indiana University Health Southern Indiana Physicians, Inc 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4215
Lawrence C Mcbride Otolaryngology Indiana University Health Southern Indiana Physicians, Inc 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4215
Melissa A Colman Nurse Practitioner Indiana University Health Southern Indiana Physicians, Inc 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403-4214
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Peggy A Ryan Nurse Practitioner Planned Parenthood of Indiana and Kentucky Inc 421 S College Ave, Bloomington Health Center, Bloomington, IN 47403-1514
Lloyd D Ericson Chiropractic Osmon Chiropractic Center, LLC 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078
Dylan C Witthoft Chiropractic Osmon Chiropractic Center, LLC 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078
Brandon M Osmon Chiropractic Osmon Chiropractic Center, LLC 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078
Beth Estelle Pruett Chiropractic Osmon Chiropractic Center, LLC 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078
Brandon James Maze Chiropractic Osmon Chiropractic Center, LLC 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078
Mandice M Williams Chiropractic Osmon Chiropractic Center, LLC 1332 W Arch Haven Ave, C, Bloomington, IN 47403-2078
David Savage Thoracic Surgery Indiana University Health Southern Indiana Physicians, Inc 1312 W Arch Haven Ave A, Indiana University Health Southern, Bloomington, IN 47403-2088
Thomas R Spevak Physical Therapy Advanced Physical Therapy LLC 1312 W Arch Haven Ave Bldg 1320 E, Ati Physical Therapy of Indiana, Bloomington, IN 47403-2088
Elysia C Tieman Physical Therapy Advanced Physical Therapy LLC 1312 W Arch Haven Ave Bldg 1320 E, Ati Physical Therapy of Indiana, Bloomington, IN 47403-2088
Find all physicians in zip 47403

Competitor

Search similar physicians

City BLOOMINGTON
Zip Code 47403
Specialty NEPHROLOGY
City + Specialty BLOOMINGTON + NEPHROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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