Travis Mark Amengual, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.153670 Issued in IL

Practice address

3948 N Sheridan Rd Ste 100
Chicago, IL 60613-2935

Phone

(773) 388-1600

NPI assigned

Mar 17, 2018

Last updated

May 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, MO, MI3 enrollments

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 3

Specialty

Psychiatry

Education

University of Rochester School of Medicine and Dentistry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians

Tpa Network IncorporatedGroup PAC ID 9133565997, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tamengual595732@direct.ochin.org

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.

• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  Medicare reassignment Care Compare group NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment Care Compare group NPD
• Pacific Heritage Medical Group Inc

  • Geriatric Psychiatry Physician
  • Westlake Village, CA
  • NPI 1467899450

  IL

  Medicare reassignment Care Compare group NPD
• Tpa Network Incorporated

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1174896914
  Medicare reassignment Care Compare group
• Howard Brown Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1306048632
  Medicare reassignment NPD
• Vivent Health Inc

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1982654091

  MO

  Medicare reassignment
• Wellness Networks, Inc

  dba AIDS Partnership Michigan

  • Family Medicine Physician
  • Highland Park, MI
  • NPI 1154712271
  Medicare reassignment
• Endeavor Health Medical Group

  dba NorthShore Anesthesia Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Howard Brown Health Center

  dba Howard Brown Health Counseling Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1205344603
  NPD
• Howard Brown Health Center

  dba Howard Brown Health at La Casa Norte

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1427523125
  NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD
• Mount Sinai Community Foundation Dba Sinai Medical Group

  • Multi-Specialty Clinic/Center
  • Cicero, IL
  • NPI 1194168377
  NPD

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

• Saint Francis Hospital - Evanston LLC

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1982442398
  Care Compare affiliation

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1386147163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401405",
            "telephone_number": "177-398-9940",
            "fax_number": "773-648-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 N SHERIDAN RD STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132935",
            "telephone_number": "773-388-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011700",
            "country_code": "US",
            "telephone_number": "847-570-2540",
            "fax_number": "847-570-2939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606475247",
            "country_code": "US",
            "telephone_number": "312-666-3494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 E Erie St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113167",
            "country_code": "US",
            "telephone_number": "312-238-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 N Westmoreland Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451696",
            "country_code": "US",
            "telephone_number": "847-234-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 E Huron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112908",
            "country_code": "US",
            "telephone_number": "312-926-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3948 N Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132935",
            "country_code": "US",
            "telephone_number": "773-388-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5537 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606401405",
            "country_code": "US",
            "telephone_number": "773-989-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112991",
            "country_code": "US",
            "telephone_number": "312-227-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMENGUAL",
        "first_name": "TRAVIS",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-17",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.153670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.153670",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yao Gautier Amegan, MA, LPC
• Courtney Amegashie, MD
• Amegrow Group Inc. (Amegrow Medical Supplies)
• Noor Ameiche
• Ameliorated Wealth of Wisdom
• Fnu Amer Ali Farooqi, MD
• Erin Hohman Ameri
• Fahimeh Ameri, DDS
• America United Healthcare Services
• America's Best Contacts & Eyeglasses

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.