NPIMap

Individual provider Active NPI

Travis S Graham, MD

  • Diagnostic Radiology Physician
  • Cody, WY
National Provider Identifier
1417926528
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7334A Issued in WY
Practice address
707 Sheridan Ave
Cody, WY 82414-3409
Phone
(307) 578-2372
NPI assigned
Mar 14, 2006
Last updated
Aug 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7334A WY Primary
Diagnostic Radiology Physician 2085R0202X 43592 CO

Addresses

Primary practice location

707 Sheridan Ave
Cody, WY 82414-3409

Mailing address

2420 Ina Ave
Cody, WY 82414-9825
Phone (307) 578-2372

Other identifiers 2

IdentifierTypeStateIssuer
P00324453OtherWYRR MEDICARE
121621000MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060711000454 WY Practitioner - Diagnostic Radiology 8921036294 Reassigns benefits to 6 organizations
I20210311001708 MT Practitioner - Diagnostic Radiology 8921036294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casper Medical Imaging PCGroup PAC ID 8224010871, 25 clinicians
Outpatient Radiology LLCGroup PAC ID 8628051596, 13 clinicians

Practice addresses (Care Compare)

419 S Washington St
Suite 101
Casper, WY 82601-2951
Phone (307) 265-1620

820 W 42ND St
Suite 1500
Scottsbluff, NE 69361-5017
Phone (307) 265-1620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43592CAMDPharmacist
43592COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Medical Imaging, P.C. Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Mar 1, 2021 Accepting new patients
Billings Clinic CurrentSince Mar 1, 2021 Accepting new patients
Outpatient Radiology LLC Diagnostic Radiology CurrentSince Mar 29, 2025 Accepting new patients
Powell Valley Health Care Inc CurrentSince Feb 1, 2021 Accepting new patients
West Park Hospital District CurrentSince Mar 1, 2015 Accepting new patients
Powell Valley Healthcare Inc Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Cody Imaging Center LLC CurrentSince Aug 23, 2021 Accepting new patients
Big Horn Basin Radiology Services LLC Diagnostic Radiology CurrentSince Apr 12, 2023 Accepting new patients
Billings Clinic CurrentSince Mar 1, 2021 Accepting new patients
West Park Hospital District CurrentSince Mar 1, 2015 Accepting new patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology Past Accepting new patients
University Physicians, Incorporated Past Accepting new patients
Flatirons Radiology, LLC Diagnostic Radiology Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

820 W 42nd St
Ste 150
Scottsbluff, NE 69361

820 W 42nd St
Ste 1500
Scottsbluff, NE 69361

3206 4th St
Longview, TX 75605
Phone (903) 663-7393

1207 E 2nd St
Casper, WY 82601

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

419 S Washington St
Casper, WY 82601
Phone (307) 265-8300

419 S Washington St
Ste 101
Casper, WY 82601
Phone (307) 232-5037

6600 E 2nd St
Ste E
Casper, WY 82609
Phone (307) 232-5012

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

613 Yellowstone Ave
Bldg A
Cody, WY 82414
Phone (307) 527-7561

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

720 Lindsay Ln
Cody, WY 82414
Phone (307) 578-1900

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

Organizations & group practices 15

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.

View all 15

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1417926528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 INA AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149825",
            "telephone_number": "307-578-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-578-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TRAVIS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "7334A",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "43592",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00324453",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121621000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.