Michael Alan Trevino, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01085799A Issued in IN

Practice address

7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159

Phone

(260) 436-0800

Fax

(260) 483-1911

NPI assigned

May 17, 2016

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Indiana University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians

St Marys Health IncGroup PAC ID 9133023898, 53 clinicians

Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians

Southern Indiana Imaging Consultants P CGroup PAC ID 2062492291, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
• Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
• Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325
• Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
• Memorial Hospital Hospital, Logansport, IN, CCN 150072

Merit-based Incentive Payment System (MIPS)

Final score

96.06 of 100Reported as group

Quality

92.11

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Indiana Imaging Consultants P C

  • Diagnostic Radiology Physician
  • Evansville, IN
  • NPI 1972598886
  Medicare reassignment Care Compare group NPD
• St Marys Health Inc

  dba Ascension St. Vincent Evansville Breast Center

  • Diagnostic Radiology Physician
  • Newburgh, IN
  • NPI 1548661077
  Medicare reassignment Care Compare group NPD
• Summit Radiology P C

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1073584587
  Medicare reassignment Care Compare group NPD
• Greene County General Hospital

  • Critical Access Hospital
  • Linton, IN
  • NPI 1184695389
  Medicare reassignment Care Compare group
• American Oncology Partners PA

  • Hematology & Oncology Physician
  • Columbus, OH
  • NPI 1265929723

  IN

  Medicare reassignment
• St Marys Health Inc

  dba Ascension St. Vincent Evansville

  • Physiological Laboratory
  • Newburgh, IN
  • NPI 1730717331
  NPD
• St. Mary's Health, Inc

  dba Ascension St. Vincent Evansville

  • Physiological Laboratory
  • Evansville, IN
  • NPI 1558819599
  NPD
• St. Mary's Health, Inc

  dba Ascension St. Vincent Evansville

  • Physiological Laboratory
  • Evansville, IN
  • NPI 1851842496
  NPD
• St. Mary's Health, Inc

  dba Ascension St. Vincent Evansville

  • Hematology & Oncology Physician
  • Newburgh, IN
  • NPI 1952101214
  NPD
• Ella E M Brown Charitable Circle

  dba Oaklawn Hospital

  • Diagnostic Radiology Physician
  • Marshall, MI
  • NPI 1043660467
  NPD
• St. Mary's Health, Inc.

  dba Ascension St. Vincent Evansville Breast Center

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Newburgh, IN
  • NPI 1215332309
  NPD (past)

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

• Adams County Memorial Hospital

  • Critical Access Hospital
  • Decatur, IN
  • NPI 1689696148
  Care Compare affiliation
• Iom Health System LP

  dba Lutheran Hospital of Indiana

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335
  Care Compare affiliation
• Parkview Logansport Hospital Inc

  • General Acute Care Hospital
  • Logansport, IN
  • NPI 1356320469
  Care Compare affiliation
• St. Mary's Health, Inc.

  dba Ascension St. Vincent Evansville

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1427082957
  Care Compare affiliation
• St. Mary's Warrick Hospital, Inc.

  dba Ascension St. Vincent Warrick

  • Critical Access Hospital
  • Boonville, IN
  • NPI 1205828803
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1023465333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD STE 108",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-0800",
            "fax_number": "260-483-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3264",
            "fax_number": "765-983-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140541",
            "country_code": "US",
            "telephone_number": "812-485-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01085799A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Trenkner, MD
• John D Trenkner, M.D.
• Kerri Jo Trentacosti, COTA
• Maureen Trentadue
• Andrea Marie Trevino
• Emily Trexler, OTD, OTR/L, CEIM
• Tri-State Optical, Inc. (Cunningham Optical One)
• David Bruce Tribble, M.D.
• Andrea D Tribolet, SLP
• Mary Susan Tribolet, P.T.

• Diagnostic Radiology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.