Travis Richard Liddell, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

8782 Issued in SD

Practice address

2908 E. 26TH St.
Sioux Falls, SD 57103-4034

Phone

(605) 336-2638

Fax

(605) 334-3500

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD, MN2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
• Pipestone County Medical Center Hospital, Pipestone, MN, CCN 241374
• Avera Dells Area Hospital - Cah Hospital, Dell Rapids, SD, CCN 431331
• Murray County Memorial Hospital Hospital, Slayton, MN, CCN 241319
• Huron Regional Medical Center Hospital, Huron, SD, CCN 431335

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: travis.liddell@avera.sdhealthlink.net

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.

• Avera McKennan

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  MN

  Medicare reassignment NPD
• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• Tactical Im PLLC

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1538925581
  NPD Authorized official
• Avera McKennan

  • Nephrology Physician
  • Sioux Falls, SD
  • NPI 1104892892
  NPD
• Avera McKennan

  • Critical Care Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1972837979
  NPD

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

• Avera McKennan

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1003188269

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Rheumatology Physician
  • Sioux Falls, SD
  • NPI 1013177393

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Neurological Surgery Physician
  • Sioux Falls, SD
  • NPI 1114113693

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1134195332

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Critical Access Hospital
  • Dell Rapids, SD
  • NPI 1154350064
  Care Compare affiliation
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1154531630
  Care Compare affiliation
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1184834764
  Care Compare affiliation
• Avera McKennan

  • Gastroenterology Physician
  • Sioux Falls, SD
  • NPI 1194799882

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1336111962

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1376575514

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1144232042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST",
            "address_2": "STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051045",
            "telephone_number": "605-322-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 E. 26TH ST.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034034",
            "telephone_number": "605-336-2638",
            "fax_number": "605-334-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDELL",
        "first_name": "TRAVIS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "13909",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "8782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402660",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weizhe Li, MD, PHD
• Darlene Marie Liberstein, CNP
• Liberty Chiropractic LLC
• Stephanie Alane Libis, ATC
• Angela D Liddell, CRNA
• Madalyn Rae Liebl, PA-C
• Lien Chiropractic LLC
• Austin Lien, DC
• Molly Lien, MD
• Life Strategies Psychological Health Services, Inc

• Orthopaedic Surgery Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Orthopaedic Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.

Verify at the official NPI Registry.