Individual provider Active NPI

Petra Travnicek, M.D.

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1114919149
Registry record updated Aug 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME88849 Issued in FL
Practice address
1250 South Tamiami Trail
Suite 301
Sarasota, FL 34239-2207
Phone
(941) 365-7771
Fax
(941) 365-4071
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME88849 FL Primary

Addresses

Primary practice location

1250 South Tamiami Trail
Suite 301
Sarasota, FL 34239-2207

Mailing address

PO Box 25818
Sarasota, FL 34277-2818
Phone (941) 365-7771

Other identifiers 4

IdentifierTypeStateIssuer
268320200MedicaidFL
P00072804OtherFLMEDICARE RR
81849OtherFLBCBS
600001577OtherFLTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040129000315 FL Practitioner - Internal Medicine 8820991680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Manasota Medical Group LLCGroup PAC ID 8426110248, 2 clinicians

Practice addresses (Care Compare)

11661 State Rd 70
Lakewood Ranch, FL 34202-9416
Phone (941) 222-0321

1250 S Tamiami TRL
Suite 301
Sarasota, FL 34239-2221
Phone (941) 365-7771

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371
  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Plymouth Harbor Incorporated Nursing home, Sarasota, FL, CCN 105817

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88849FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc Internal Medicine CurrentSince May 2, 2017 Accepting new patients
Manasota Medical Group LLC Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients

Locations

1250 S Tamiami Trl
Ste 301
Sarasota, FL 34239
Phone (941) 365-7771

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGBFBD/Endpoint/HGBFBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Plymouth Harbor, Inc.Sarasota, FL, CCN 105817 Skilled nursing facility Corporate Director Jan 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440892800000",
    "number": "1114919149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25818",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772818",
            "telephone_number": "941-365-7771",
            "fax_number": "941-365-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SOUTH TAMIAMI TRAIL",
            "address_2": "SUITE 301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392207",
            "telephone_number": "941-365-7771",
            "fax_number": "941-365-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVNICEK",
        "first_name": "PETRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268320200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00072804",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81849",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "600001577",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.