Individual provider Active NPI

Travis Louis Monchamp, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bend, OR
National Provider Identifier
1396776324
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD26567 Issued in OR
Practice address
929 SW Simpson Ave
Suite 220
Bend, OR 97702-3599
Phone
(541) 317-5600
Fax
(541) 317-5676
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X MD26567 OR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD26567 OR Primary

Addresses

Primary practice location

929 SW Simpson Ave
Suite 220
Bend, OR 97702-3599

Mailing address

PO Box 670
Bend, OR 97709-0670
Phone (541) 317-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20061003000129 OR Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Nuclear Medicine 2961462932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
New York Medical College and Hospital for Women, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

929 SW Simpson Ave
Bend, OR 97702-3599
Phone (541) 389-7741

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047
  • St Charles Madras Hospital, Madras, OR, CCN 381324
  • St Charles Medical Center Prineville Hospital, Prineville, OR, CCN 381313
  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
  • Harney District Hospital Hospital, Burns, OR, CCN 381307

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Health, PC CurrentSince Mar 1, 2020 Accepting new patients
Praxis Health, PC CurrentSince Mar 1, 2020 Accepting new patients
Cardiovascular Consultants of the Cascades LLP Past Accepting new patients
Advanced Surgical Care, LLC Past Accepting new patients

Locations

929 SW Simpson Ave
Bend, OR 97702
Phone (541) 848-6642

2165 NW Shevlin Park Rd
Ste Endo
Bend, OR 97703

2084 NE Professional Ct
Bend, OR 97701
Phone (541) 322-5753

2165 NW Shevlin Park Rd
Bend, OR 97703
Phone (541) 317-5600

929 SW Simpson Ave
Ste 220
Bend, OR 97702
Phone (541) 317-5600

1001 NW Canal Blvd
Redmond, OR 97756
Phone (541) 504-7635

236 NW Kingwood Ave
Ste A
Redmond, OR 97756
Phone (541) 322-5753

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 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1396776324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090670",
            "telephone_number": "541-317-5600",
            "fax_number": "541-317-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SW SIMPSON AVE",
            "address_2": "SUITE 220",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023599",
            "telephone_number": "541-317-5600",
            "fax_number": "541-317-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCHAMP",
        "first_name": "TRAVIS",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "OR",
            "license": "MD26567",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD26567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.