Active NPI
Travis J Hillen, MD
- Diagnostic Radiology Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036163184
- Practice address
- 4500 Memorial Dr
Dept Radiology
Belleville, IL 62226-5360 - Phone
- (618) 257-5613
- Fax
- (314) 454-4641
- NPI assigned
- Oct 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 340388 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 036163184 | IL | Primary |
Addresses
Primary practice location
4500 Memorial Dr
Dept Radiology
Belleville, IL 62226-5360
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 257-5613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209214907 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TN, MS, IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090616000068 | MO | Practitioner - Diagnostic Radiology | 8921158809 | Reassigns benefits to 8 organizations |
| I20220105000279 | TN | Practitioner - Diagnostic Radiology | 8921158809 | Reassigns benefits to 1 organization |
| I20220316001051 | MS | Practitioner - Diagnostic Radiology | 8921158809 | Reassigns benefits to 1 organization |
| I20230804000162 | IN | Practitioner - Diagnostic Radiology | 8921158809 | Reassigns benefits to 1 organization |
| I20230815000251 | IL | Practitioner - Diagnostic Radiology | 8921158809 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Missouri Medical College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Orthopaedic Group LLPBJC Outpatient Imaging LLCPhysician Specialists of St Lukes LLCDiagnostic Imaging Associates LTDClinical Radiologists SCSouthern Bone and Joint Specialists, PAWashington University Physicians in Illinois IncWashington UniversityImaging Specialists PLLC
Practice addresses (Care Compare)
1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402
1785 Clarkson Rd
Chesterfield, MO 63017-4966
Phone (636) 681-1540
232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 434-1500
232 S Woods Mill Rd
St Lukes Hosp Radiology Dept
Chesterfield, MO 63017-3417
Phone (314) 434-1500
3050 Montvale Dr
Suite a
Springfield, IL 62704-6924
Phone (217) 726-8096
3688 Veterans Memorial Dr
Suite 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400
409 Beauwood CT
Olivette, MO 63132-4214
Phone (217) 726-8096
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (217) 726-8096
7405 Oxford Dr
Clayton, MO 63105-2915
Phone (217) 726-8096
750 Old Hickory Blvd
Suite 1 260
Brentwood, TN 37027-4528
Phone (615) 376-7500
Hospital & facility affiliations
- Missouri Baptist Medical Center
- St Lukes Hospital
- Progress West Hospital
- Barnes-Jewish St Peters Hospital
- Christian Hospital Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340388 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Columbia Orthopaedic Group, LLP | Current | Accepting new patients | |
| Miracl, LLC | Current | Accepting new patients | |
| Pinnacle Health Services of North Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Washington University | Diagnostic Radiology | Current | Accepting new patients |
| Pinnacle Health Services of North Carolina, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Southern Bone & Joint Specialists, PA | Current | Accepting new patients | |
| Pinnacle Health Services of North Carolina, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Brier Creek Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Columbia Orthopaedic Group, LLP | Current | Accepting new patients | |
| Washington University Physicians in Illinois Inc | Diagnostic Radiology | Current | Accepting new patients |
| Clinical Radiologists, S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Protestant Memorial Medical Center,Inc | Current | Accepting new patients | |
| BJC Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Physician Specialists of St Lukes LLC | Current | Accepting new patients | |
| Diagnostic Imaging Associates LTD | Diagnostic Radiology | Current | Accepting new patients |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Southern Bone & Joint Specialists | Current | Accepting new patients | |
| Pinnacle Health Services of North Carolina, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Emergency Physicians of St. Luke'S, LLC | Past | Accepting new patients | |
| Ft. Jesse Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
| Schuyler County Hospital District | Past | Accepting new patients | |
| Orthopaedic Center of Southern Illinois, LTD. | Past | Accepting new patients | |
| Elite Chiropractic Center LLC | Past | Accepting new patients |
Locations
3 Ginger Creek Vlg
Glen Carbon, IL 62034
Phone (618) 792-2762
238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321
1414 Cross St
Ste 130
Shiloh, IL 62269
Phone (618) 607-1220
3050 Montvale Dr
Ste A
Springfield, IL 62704
Phone (217) 222-9302
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
1785 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 681-1540
1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402
100 Medical Dr
Hannibal, MO 63401
300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177
1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170
660 S Euclid Ave
#C
Saint Louis, MO 63110
660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809
510 S Kingshighway Blvd
#8131
Saint Louis, MO 63110
Phone (314) 362-2900
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070
3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401
Phone (601) 554-7451
Interoperability endpoints
- thillen154206@direct.carenet.org
Organizations & group practices 30
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.
-
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1063469252
Diagnostic Radiology, IL, IN, MO
-
- Diagnostic Radiology Physician
- Alton, IL
- NPI 1336037076
Diagnostic Radiology, MO
-
- Radiology Clinic/Center
- Chesterfield, MO
- NPI 1710781414
Diagnostic Radiology, MO
-
- Diagnostic Radiology Physician
- Chesterfield, MO
- NPI 1033142146
Diagnostic Radiology, MO
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
MO
-
- Orthopaedic Surgery Physician
- Hattiesburg, MS
- NPI 1831110725
MS
-
- Multi-Specialty Clinic/Center
- O Fallon, IL
- NPI 1477076263
IL
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
Diagnostic Radiology, MO
-
- Orthopaedic Surgery Physician
- Brookhaven, MS
- NPI 1881477354
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
Hospital
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
Hospital
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1285729657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "618-257-5613",
"fax_number": "314-454-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DR",
"address_2": "DEPT RADIOLOGY",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265360",
"telephone_number": "618-257-5613",
"fax_number": "314-454-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLEN",
"first_name": "TRAVIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "340388",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036163184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209214907",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4500 Memorial Dr",
"address_2": "Dept Radiology",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622265360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.