Individual provider Active NPI

Travis Lee Vickers, D.O.

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1295095511
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO1960 Issued in NV
Practice address
6950 S Cimarron Rd Ste 200
Las Vegas, NV 89113
Phone
(702) 796-0231
Fax
(702) 796-5211
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DO1960 NV Primary

Addresses

Primary practice location

6950 S Cimarron Rd Ste 200
Las Vegas, NV 89113

Mailing address

6950 S Cimarron Rd Ste 200
Las Vegas, NV 89113-2135
Phone (702) 796-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20181002003309 NV Practitioner - GastroenterologyPractitioner - Internal Medicine 8921326877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collins Carson City Gastroenterology, LTDGroup PAC ID 8022474329, 12 clinicians
Frank J Nemec MD LTDGroup PAC ID 8820075351, 6 clinicians

Practice addresses (Care Compare)

1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567

6950 S Cimarron Rd
Suite 200
Las Vegas, NV 89113-2135
Phone (702) 796-0231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frank J Nemec M D LTD Gastroenterology CurrentSince Sep 4, 2018 Accepting new patients
Collins Carson City Gastroenterology LTD Gastroenterology CurrentSince Sep 2, 2024 Accepting new patients
Dignity Health Past Accepting new patients
Southern Hills Medical Center, LLC PastSince Sep 4, 2018 Accepting new patients

Locations

1385 Vista Ln
Carson City, NV 89703
Phone (775) 329-4600

6950 S Cimarron Rd
Ste 200
Las Vegas, NV 89113
Phone (702) 530-8666

6950 S Cimarron Rd
Las Vegas, NV 89113

Organizations & group practices 4

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1295095511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 S CIMARRON RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132135",
            "telephone_number": "702-796-0231",
            "fax_number": "702-796-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 S CIMARRON RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-796-0231",
            "fax_number": "702-796-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "TRAVIS",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "DO1960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.