Active NPI
Travis Don Berni
- Certified Registered Nurse Anesthetist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 331123-4406
- Practice address
- 6360 S 3000 E Ste 310
Salt Lake City, UT 84121 - Phone
- (801) 944-3144
- Fax
- (801) 944-3186
- NPI assigned
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Sandy, UT
- NPI 1124837646
-
- Gastroenterology Physician
- Bountiful, UT
- NPI 1457393761
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Utah Gastroenterology LLC
Practice addresses (Care Compare)
6360 S 3000
Suite 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3188
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.45 of 100
- Quality
- 47.08
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.26
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110526000187 | UT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012065147 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Utah Gastroenterology | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients |
Locations
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
38 W 13775 S
Ste 100
Draper, UT 84020
Phone (801) 727-4280
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
6360 S 3000 E
Ste 220
Salt Lake Cty, UT 84121
Phone (801) 944-3195
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 331123-4406 | UT | Primary |
Addresses
Primary practice location
6360 S 3000 E Ste 310
Salt Lake City, UT 84121
Mailing address
6360 S 3000 E Ste 220
Salt Lake City, UT 84121-6924
Phone (801) 944-3199
Other practice location 1
8144 E Cactus Rd
Suite #800
Scottsdale, AZ 85260-5266
Phone (480) 596-8525
NPI Registry JSON
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1386898567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 S 3000 E STE 220",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216924",
"telephone_number": "801-944-3199",
"fax_number": "801-944-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 S 3000 E STE 310",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-944-3144",
"fax_number": "801-944-3186"
}
],
"practiceLocations": [
{
"address_1": "8144 E Cactus Rd",
"address_2": "Suite #800",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852605266",
"country_code": "US",
"telephone_number": "480-596-8525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNI",
"first_name": "TRAVIS",
"middle_name": "DON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-14",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "331123-4406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.