Individual provider Active NPI

Frances Chen Travelli, M.D.

  • Pediatric Cardiology Physician
  • Charlotte, NC
National Provider Identifier
1114152469
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
2019-00919 Issued in NC
Practice address
1718 E 4TH St Ste 605
Charlotte, NC 28204-3282
Phone
(704) 316-1220
Fax
(704) 316-1230
NPI assigned
May 15, 2009
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X A118349 CA
Pediatric Cardiology Physician 2080P0202X 2019-00919 NC Primary

Addresses

Primary practice location

1718 E 4TH St Ste 605
Charlotte, NC 28204-3282

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-1220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ftravelli717472@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200505000279 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 9234430356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1718 E 4TH St
Suite 605
Charlotte, NC 28204-3282
Phone (704) 316-1220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118349CAMDPediatric Cardiology Physician
2019-00919NCMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Chino Medical Group, Inc PastSince Dec 1, 2015 Accepting new patients

Locations

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6000

1718 E 4th St
Ste 605
Charlotte, NC 28204

1918 Randolph Rd
Ste 700
Charlotte, NC 28207
Phone (704) 342-3544

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1114152469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-1220",
            "fax_number": "704-316-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E 4TH ST STE 605",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043282",
            "telephone_number": "704-316-1220",
            "fax_number": "704-316-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVELLI",
        "first_name": "FRANCES",
        "middle_name": "CHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A118349",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "2019-00919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ftravelli717472@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1718 E 4th St Ste 605",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.