Individual provider Active NPI

Todd Steven Traub, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1215920160
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD25704 Issued in ME
Practice address
1717 E Morten Ave Unit 26
Phoenix, AZ 85020-4755
Phone
(727) 743-0680
Fax
(727) 205-5430
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 46617 AZ
Anesthesiology Physician 207L00000X ME53592 FL
Anesthesiology Physician 207L00000X MD25704 ME Primary

Addresses

Primary practice location

1717 E Morten Ave Unit 26
Phoenix, AZ 85020-4755

Mailing address

3000 Medical Park Dr Ste 510
Tampa, FL 33613-6602
Phone (813) 872-4492

Other practice location 1

3000 Medical Park Dr Ste 510
Tampa, FL 33613
Phone (813) 872-4492

Other practice location 2

645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone (602) 262-8900

Other identifiers 2

IdentifierTypeStateIssuer
P00054081OtherFLRAILROAD MEDICARE
08391OtherFLBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200714002162 AZ Practitioner - Anesthesiology 6002713914 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46617AZMDAnesthesiology Physician
ME53592FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc CurrentSince Jul 1, 2020 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Anesthesiology CurrentSince Jan 15, 2022 Accepting new patients
Kingman Healthcare, Inc Interventional Pain Medicine Current Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 1, 2020 Accepting new patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
St Petersburg Surgery Center LTD Past Accepting new patients
Bayou Anesthesia and Pain Management Associates PA Anesthesiology PastSince Oct 17, 2003 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

9007 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3950

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

20401 N 73rd St
Ste 105
Scottsdale, AZ 85255
Phone (480) 505-3484

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

Organizations & group practices 10

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 1

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1215920160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 510",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136602",
            "telephone_number": "813-872-4492",
            "fax_number": "813-830-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E MORTEN AVE UNIT 26",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204755",
            "telephone_number": "727-743-0680",
            "fax_number": "727-205-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Medical Park Dr Ste 510",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33613",
            "country_code": "US",
            "telephone_number": "813-872-4492",
            "fax_number": "813-830-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 E Missouri Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850121351",
            "country_code": "US",
            "telephone_number": "602-262-8900",
            "fax_number": "602-262-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAUB",
        "first_name": "TODD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "46617",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME53592",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "MD25704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00054081",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "08391",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.