Individual provider Active NPI

Travis S Carter, DPM

  • Podiatrist
  • Kennewick, WA
National Provider Identifier
1134288533
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO630 Issued in WA
Practice address
3730 Plaza Way Ste 6500
Kennewick, WA 99338-2718
Phone
(509) 585-3622
Fax
(509) 585-3624
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO630 WA Primary

Addresses

Primary practice location

3730 Plaza Way Ste 6500
Kennewick, WA 99338-2718

Mailing address

3730 Plaza Way Ste 6500
Kennewick, WA 99338-2718
Phone (509) 585-3622

Other identifiers 3

IdentifierTypeStateIssuer
125685OtherWALI
480027205OtherRR MEDICARE
1106152MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129001072 WA Practitioner - Podiatry 8022038561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3730 Plaza Way
Suite 6500
Kennewick, WA 99338-2718

7301 W Deschutes Ave
Suite C
Kennewick, WA 99336-7799
Phone (509) 585-3622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.15 of 100Reported as individual
Quality
92.31
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue582
Removal or shaving of skin growth297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO630WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot and Ankle Clinic PC Podiatrist CurrentSince Jul 1, 1999 Accepting new patients

Locations

7301 W Deschutes Ave
Ste C
Kennewick, WA 99336
Phone (509) 585-3622

320 W 10th Ave
Ste 104
Kennewick, WA 99336
Phone (509) 542-1000

3730 Plaza Way
Ste 6500
Kennewick, WA 99338
Phone (509) 585-3622

Interoperability endpoints

  • Direct secure messaging: traviscarter@advfootankleclinic.direct.emds.com

Organizations & group practices 1

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 3

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1134288533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 PLAZA WAY STE 6500",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382718",
            "telephone_number": "509-585-3622",
            "fax_number": "509-585-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 PLAZA WAY STE 6500",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382718",
            "telephone_number": "509-585-3622",
            "fax_number": "509-585-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TRAVIS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LI",
            "identifier": "125685",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480027205",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106152",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.