NPIMap

Individual provider Active NPI

Travis W Treadway, M.D.

  • Family Medicine Physician
  • Boiling Springs, PA
National Provider Identifier
1326091471
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD423840 Issued in PA
Practice address
1358 Lutztown Rd
Boiling Springs, PA 17007-9302
Phone
(717) 249-8300
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD423840 PA Primary

Addresses

Primary practice location

1358 Lutztown Rd
Boiling Springs, PA 17007-9302

Mailing address

1358 Lutztown Rd
Boiling Springs, PA 17007-9302
Phone (717) 249-8300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ttreadway198186@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040511000646 PA Practitioner - Family PracticePractitioner - Addiction Medicine 9032108360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
University of Tennessee, HSC, College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

211 Broad St
Marysville, PA 17053-1302
Phone (717) 957-3500

Hospital & facility affiliations

  • Accentcare Home Health of Central Pennsylvania Home health agency, Elizabethtown, PA, CCN 398062
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD423840PAMDFamily Medicine Physician
31340TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Jan 16, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 16, 2024 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

220 Wilson St
Ste 104
Carlisle, PA 17013
Phone (717) 218-1832

126 W Church St
Ste 200
Dillsburg, PA 17019
Phone (717) 432-2411

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

211 Broad St
Marysville, PA 17053
Phone (717) 957-3500

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1326091471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 LUTZTOWN RD",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079302",
            "telephone_number": "717-249-8300",
            "fax_number": "717-249-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 LUTZTOWN RD",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079302",
            "telephone_number": "717-249-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWAY",
        "first_name": "TRAVIS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD423840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttreadway198186@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1358 Lutztown Rd",
            "city": "Boiling Springs",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170079302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boiling Springs, PA

Sources for this page

Verify at the official NPI Registry.