Chris T Trevino, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

023255 Issued in LA

Practice address

41229 Highway 941
Gonzales, LA 70737-8206

Phone

(225) 806-3397

Fax

(225) 644-1423

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Christopher T Trevino Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ctrevino16065@direct.casso.us.com

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.

• Ascension Emergency Physicians LLC

  • Emergency Medicine Physician
  • Gonzales, LA
  • NPI 1699118505
  Medicare reassignment NPD
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  Medicare reassignment NPD
• Our Lady of the Lake Physician Group LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1033494943

  Psychiatry

  Medicare reassignment NPD
• Our Lady of the Lake Physician Group LLC

  dba Our Lady of the Lake Children's Health Developmental Center at McMains

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baton Rouge, LA
  • NPI 1235912502
  NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1386650745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41229 HIGHWAY 941",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378206",
            "telephone_number": "225-806-3397",
            "fax_number": "225-644-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41229 HIGHWAY 941",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378206",
            "telephone_number": "225-806-3397",
            "fax_number": "225-644-1423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Highway 402",
            "address_purpose": "LOCATION",
            "city": "Napoleonville",
            "state": "LA",
            "postal_code": "703902217",
            "country_code": "US",
            "telephone_number": "985-369-3600",
            "fax_number": "985-369-4271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1112 E Ascension Complex Blvd",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707374265",
            "country_code": "US",
            "telephone_number": "225-450-1016",
            "fax_number": "225-450-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "CHRIS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "023255",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "023255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5A536",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698270",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "135 Highway 402",
            "city": "Napoleonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703902217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctrevino16065@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ctrevino16065@direct.casso.us.com",
            "address_1": "135 Highway 402",
            "city": "Napoleonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703902217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "TREVINO",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dayna G Toscano, NP
• Elizabeth Tousinau
• Amanda Moore Trahan, CPHT
• Transporting on Purpose
• Edwin Fredrick Trauth IV, DDS
• Paul B Trisler, M.D.
• Megan Tuminello, APRN
• Vadim Turlak, DC
• Gail Gros Turner, APRN, FNP-C
• Stephanie Gibson Turner, LPC

• Emergency Medicine Physician in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.