Active NPI
Kevin Traille, CRNA
- Certified Registered Nurse Anesthetist
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 639986
- Practice address
- 21 Bloomingdale Rd
White Plains, NY 10605 - Phone
- (646) 271-7577
- NPI assigned
- Jun 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 123824 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 118162 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 639986 | NY | Primary |
Addresses
Primary practice location
21 Bloomingdale Rd
White Plains, NY 10605
Mailing address
575 Lexington Ave
New York, NY 10022-6102
Phone (646) 271-7577
Other practice location 1
1773 Casey Ct
Mohegan Lake, NY 10547-1066
Phone (646) 271-7577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180821002129 | CT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345599502 | Reassigns benefits to 6 organizations |
| I20181018001493 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345599502 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Montefiore Medical CenterHudson Health Anesthesia PLLCNuvance Health Medical Practice CT IncWeill Medical College of Cornell
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 737-9000
24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 852-2000
525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-2846
Hospital & facility affiliations
- Montefiore Medical Center
- Hudson Valley Hospital Center
- Norwalk Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123824 | CT | MD | Certified Registered Nurse Anesthetist |
| 118162 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles (15 of 19)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Putnam Gi, LLC | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Bridgeport Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stamford Anesthesiology Services, PC | Current | Accepting new patients | |
| Hudson Health Anesthesia PLLC | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Weill Medical College of Cornell | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Stamford Health Medical Group Inc | Current | Accepting new patients | |
| Hypnoscope Medical, PC | Past | Accepting new patients |
Locations (25 of 28)
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
60 Wellington Rd
Milford, CT 06461
Phone (203) 878-2010
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
4 Hospital Plz
Stamford, CT 06902
Phone (203) 371-7884
5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644
32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
111 E 210th St
Bronx, NY 10467
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
667 Stoneleigh Ave
Ste 204
Carmel, NY 10512
Phone (845) 278-5223
667 Stoneleigh Ave
Bldg A
Carmel, NY 10512
667 Stoneleigh Ave
Ste 201
Carmel, NY 10512
Phone (845) 278-5223
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
33 Grand St
Kingston, NY 12401
Phone (845) 338-1535
26 Pearl St
Kingston, NY 12401
Phone (845) 331-8222
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
6 Front St
Newburgh, NY 12550
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- kot9007@direct.nyp.org
- https://fhir4.healow.com/fhir/r4/ABCIBA
Organizations & group practices 31
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1164768305
Nurse Anesthetist, Certified Registered, NY
-
- Anesthesiology Physician
- Bridgeport, CT
- NPI 1174549257
CT, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
CT
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1013401157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100226102",
"telephone_number": "646-271-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BLOOMINGDALE RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10605",
"telephone_number": "646-271-7577"
}
],
"practiceLocations": [
{
"address_1": "1773 Casey Ct",
"address_purpose": "LOCATION",
"city": "Mohegan Lake",
"state": "NY",
"postal_code": "105471066",
"country_code": "US",
"telephone_number": "646-271-7577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAILLE",
"first_name": "KEVIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-21",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "123824",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "118162",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "639986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.