Active NPI
Travis Schildt, MD
- Family Medicine Physician
- Martinsburg, WV
National Provider Identifier
1033316781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23075
- Practice address
- 651 Foxcroft Ave
Suite 110
Martinsburg, WV 25401-5306 - Phone
- (304) 264-3660
- Fax
- (304) 264-3665
- NPI assigned
- Jun 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23075 | WV | Primary |
| Family Medicine Physician | 207Q00000X | D0075589 | MD |
Addresses
Primary practice location
651 Foxcroft Ave
Suite 110
Martinsburg, WV 25401-5306
Mailing address
651 Foxcroft Aveune
Suite 110
Martinsburg, WV 25401-5306
Phone (304) 264-3660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035061000 | Medicaid | WV | |
| 1723320 | Medicaid | PA | |
| 482501200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
651 Foxcroft Ave
Suite 110
Martinsburg, WV 25401-5313
Phone (304) 264-3660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine of Martinsburg, PLLC | Family Medicine | Current | Accepting new patients |
| United Physicians Care Inc | Family Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
651 Foxcroft Ave
Ste 110
Martinsburg, WV 25401
Phone (304) 264-3660
Interoperability endpoints
- tschildt2827@direct.wvuhsdirect.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1063883023
-
- Family Medicine Physician
- Shinnston, WV
- NPI 1184849200
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
dba Jefferson Medical Center
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
-
- Critical Access Hospital
- Berkeley Springs, WV
- NPI 1467450353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1033316781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 FOXCROFT AVEUNE",
"address_2": "SUITE 110",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254015306",
"telephone_number": "304-264-3660",
"fax_number": "304-264-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 FOXCROFT AVE",
"address_2": "SUITE 110",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254015306",
"telephone_number": "304-264-3660",
"fax_number": "304-264-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILDT",
"first_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "23075",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0075589",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0035061000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1723320",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "482501200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.