Individual provider Active NPI

Kevin Traille, CRNA

  • Certified Registered Nurse Anesthetist
  • White Plains, NY
National Provider Identifier
1013401157
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
639986 Issued in NY
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

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Center 2,809 clinicians
Hudson Health Anesthesia PLLC 49 clinicians
Nuvance Health Medical Practice CT Inc 742 clinicians
Weill Medical College of Cornell 2,023 clinicians

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 Hospital, Bronx, NY, CCN 330059
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
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

LicenseStateTypeSpecialty
123824CTMDCertified Registered Nurse Anesthetist
118162NYMDCertified Registered Nurse Anesthetist

Practice roles (15 of 19)

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jun 16, 2022 Accepting new patients
Putnam Gi, LLC CurrentSince Feb 19, 2020 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Jul 1, 2022 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince Feb 1, 2022 Accepting new patients
Yale University CurrentSince Jun 16, 2022 Accepting new patients
Bridgeport Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 28, 2018 Accepting new patients
Stamford Anesthesiology Services, PC CurrentSince Feb 28, 2019 Accepting new patients
Hudson Health Anesthesia PLLC CurrentSince Dec 24, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 2, 2024 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jan 1, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jan 12, 2023 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jan 12, 2023 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Mar 1, 2020 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

  • Direct secure messaging: kot9007@direct.nyp.org
  • FHIR API: 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.

View all 31

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.