Active NPI
Craig Rick Travis, MD
- Emergency Medicine Physician
- South Miami, FL
National Provider Identifier
1053372250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME0061165
- Practice address
- 5901 SW 87TH St
South Miami, FL 33143-8153 - Phone
- (305) 668-9877
- NPI assigned
- Mar 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0061165 | FL | Primary |
Addresses
Primary practice location
5901 SW 87TH St
South Miami, FL 33143-8153
Mailing address
5901 SW 87TH St
Miami, FL 33143-8153
Phone (305) 668-9877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25586 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0061165 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Physician Services LLC | Emergency Medicine | Past | Accepting new patients |
| Inphynet South Broward LLC | Emergency Medicine | Past | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Past | Accepting new patients |
| Public Health Trust of Miami Dade County Florida | Emergency Medicine | Past | Accepting new patients |
| Reddy Pop Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Doctors ER Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Past | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Interoperability endpoints
- ctravis@yourcarecommunity.org
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1346296605
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1235378001
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Emergency Medicine Physician
- Valparaiso, IN
- NPI 1184860512
-
- Emergency Medicine Physician
- Brazil, IN
- NPI 1922233592
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053372250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 SW 87TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331438153",
"telephone_number": "305-668-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 SW 87TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331438153",
"telephone_number": "305-668-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "CRAIG",
"middle_name": "RICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0061165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "25586",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.