NPIMap

Individual provider Active NPI

Kayla Marie Trautman-Buckley, DO

  • Internal Medicine Physician
  • Youngstown, OH
National Provider Identifier
1164166674
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58.033128 Issued in OH
Practice address
2955 Canfield Rd
Youngstown, OH 44511-4800
Phone
(330) 270-0118
Fax
(330) 270-0120
NPI assigned
Apr 21, 2022
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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 58.033128 OH Primary

Addresses

Primary practice location

2955 Canfield Rd
Youngstown, OH 44511-4800

Mailing address

2955 Canfield Rd
Youngstown, OH 44511-4800
Phone (330) 270-0118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707003452 OH Practitioner - Internal Medicine 1254712748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

2955 Canfield Rd
Youngstown, OH 44511-4800
Phone (330) 270-0118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.033128OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Internal Medicine CurrentSince Jul 21, 2025 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Jul 21, 2025 Accepting new patients

Locations

1001 Covington St
Youngstown, OH 44510
Phone (330) 480-2616

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

2955 Canfield Rd
Youngstown, OH 44511
Phone (330) 270-0118

Interoperability endpoints

  • Direct secure messaging: ktrautmanbuckley1243188@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1164166674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445114800",
            "telephone_number": "330-270-0118",
            "fax_number": "330-270-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445114800",
            "telephone_number": "330-270-0118",
            "fax_number": "330-270-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUTMAN-BUCKLEY",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58.033128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.