Individual provider Active NPI

Lori H Travis, MD

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1093794885
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
27954 Issued in AZ
Practice address
3805 E Bell Rd Ste 2400
Phoenix, AZ 85032-2181
Phone
(602) 482-2116
Fax
(602) 482-9563
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 27954 AZ Primary

Addresses

Primary practice location

3805 E Bell Rd Ste 2400
Phoenix, AZ 85032-2181

Mailing address

3805 E Bell Rd Ste 2400
Phoenix, AZ 85032-2181
Phone (602) 482-2116

Other practice location 1

4400 N 32nd St Ste 150
Phoenix, AZ 85018-3977
Phone (602) 482-2116

Other identifiers 1

IdentifierTypeStateIssuer
691429MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20080306000033 AZ Practitioner - Neurology 7012092778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Arizona College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Integrated Neuro Spine and Pain LLCGroup PAC ID 5597027516, 15 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

13640 N 99TH Ave
Suite 100
Sun City, AZ 85351-0001
Phone (623) 322-5700

2225 W Southern Ave
Suite a
Mesa, AZ 85202-4716
Phone (623) 888-3502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Oct 1, 2017 Accepting new patients
Scottsdale Healthcare Corporation Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince May 14, 2018 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Arizona Infusion Centers LLC Neurology CurrentSince Aug 1, 2022 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince May 14, 2018 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

3805 E Bell Rd
Ste 2400
Phoenix, AZ 85032
Phone (480) 210-8725

4400 N 32nd St
Ste 150
Phoenix, AZ 85018
Phone (602) 466-3226

2500 W Utopia Rd
Phoenix, AZ 85027
Phone (602) 812-3080

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

3501 N Scottsdale Rd
Ste 230
Scottsdale, AZ 85251
Phone (480) 534-4517

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1093794885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 2400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322181",
            "telephone_number": "602-482-2116",
            "fax_number": "602-482-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 2400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322181",
            "telephone_number": "602-482-2116",
            "fax_number": "602-482-9563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 N 32nd St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183977",
            "country_code": "US",
            "telephone_number": "602-482-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "LORI",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "27954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691429",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.