Active NPI
Travis J. Witt, M.D.
- Family Medicine Physician
- Spencer, IA
National Provider Identifier
1124344833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 41225
- Practice address
- 116 E 11TH St
Suite 101
Spencer, IA 51301-4300 - Phone
- (712) 264-3500
- NPI assigned
- Apr 20, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41225 | IA | Primary |
Addresses
Primary practice location
116 E 11TH St
Suite 101
Spencer, IA 51301-4300
Mailing address
116 E 11TH St
Suite 101
Spencer, IA 51301-4300
Phone (712) 264-3500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I54910014 | Other | IA | MEDICARE PTAN |
| 1124344833 | Other | IA | MEDICARE NPI |
| 1124344833 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131029001982 | IA | Practitioner - Family Practice | 0446413124 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E 10TH St
Suite 208
Spencer, IA 51301-4307
Phone (712) 264-6189
116 E 10TH St
Suite 101
Spencer, IA 51301-4365
Phone (712) 264-3500
1200 1St Ave E
Spencer, IA 51301-4330
1200 1St Ave E
Spencer, IA 51301-4342
Phone (712) 264-6198
1200 1St Ave E C
Nwia Bone Joint and Sports Surgeons
Spencer, IA 51301-4342
Phone (712) 262-7511
Hospital & facility affiliations
- Avera at Home of Spencer Hospital
- Avera @ Home of Spencer Hospital
- Gentiva
- Spencer Municipal Hospital
- Lakes Regional Healthcare
- Avera McKennan Hospital & University Health Center
- Palo Alto County Hospital
- Avera Heart Hospital of South Dakota
- St Luke Lutheran Nursing Home
- Ruthven Community Care Center
- Spencer Post Acute Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 25 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41225 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Northwest Iowa Dermatology LLC | Past | Accepting new patients |
Locations
101 E 10th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500
1200 1st Ave E
Ste 1
Spencer, IA 51301
Phone (712) 264-6160
116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500
1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164
Interoperability endpoints
- travis.witt@avera.sdhealthlink.net
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 and National Provider Directory roles.
-
- Clinic/Center
- Hartley, IA
- NPI 1225767338
-
- Rural Acute Care Hospital
- Spencer, IA
- NPI 1255328621
-
- Orthopaedic Surgery Physician
- Spencer, IA
- NPI 1316432826
-
- Dermatology Physician
- Algona, IA
- NPI 1962217778
Hospital & facility affiliations 37
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Spencer, IA
- NPI 1780671578
-
- Nursing Facility/Intermediate Care Facility
- Spencer, IA
- NPI 1194712760
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1124344833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E 11TH ST",
"address_2": "SUITE 101",
"city": "SPENCER",
"state": "IA",
"postal_code": "513014300",
"telephone_number": "712-264-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E 11TH ST",
"address_2": "SUITE 101",
"city": "SPENCER",
"state": "IA",
"postal_code": "513014300",
"telephone_number": "712-264-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITT",
"first_name": "TRAVIS",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-20",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "41225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "I54910014",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1124344833",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124344833",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.