Durell Vincent Trago Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35060751 Issued in OH

Practice address

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214-3937

Phone

(614) 340-7747

Fax

(614) 340-7742

NPI assigned

Jun 23, 2006

Last updated

Mar 21, 2013By 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 OH

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

Specialty

Diagnostic Radiology

Education

Wright State University Boonshoft School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Willard Hospital Hospital, Willard, OH, CCN 361310
• Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
• Ohiohealth Morrow County Hospital Hospital, Mount Gilead, OH, CCN 361313
• Selby General Hospital Hospital, Marietta, OH, CCN 361319
• Marion General Hospital Hospital, Marion, OH, CCN 360011

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: durell.trago@mmhs.medicity.net

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.

• Riverside Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1093718496
  Medicare reassignment Care Compare group NPD
• Albert J. Cook M.D. Inc

  • Diagnostic Radiology Physician
  • Kent, OH
  • NPI 1578593299
  NPD (past)
• Ohio Imaging Centers Inc.

  • Diagnostic Radiology Physician
  • Kent, OH
  • NPI 1619907342
  NPD (past)
• Penn Imaging Associates PC

  • Diagnostic Radiology Physician
  • Kent, OH
  • NPI 1366513830
  NPD (past)
• Professional Management Systems, LLC

  • Diagnostic Radiology Physician
  • Kent, OH
  • NPI 1477768174
  NPD (past)
• Jer Medical Associates

  • Specialist
  • New Castle, PA
  • NPI 1588674451
  NPD (past)
• New Castle Infectious Diseases LLC

  • Infectious Disease Physician
  • New Castle, PA
  • NPI 1114107398
  NPD (past)

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

• Marietta Memorial Hospital

  • General Acute Care Hospital
  • Marietta, OH
  • NPI 1215936927
  Care Compare affiliation
• Marion General Hospital, Inc.

  • General Acute Care Hospital
  • Marion, OH
  • NPI 1215935366
  Care Compare affiliation
• Marion General Hospital, Inc.

  dba MGH Reference Lab

  • Clinical Medical Laboratory
  • Marion, OH
  • NPI 1427494277

  Hospital

  Care Compare affiliation
• Mercy Health - Willard Hospital LLC

  dba Mercy Health - Willard Hospital

  • Critical Access Hospital
  • Willard, OH
  • NPI 1790731016
  Care Compare affiliation
• Ohiohealth Morrow County Hospital, Inc.

  dba OhioHealth Morrow County Hospital

  • Critical Access Hospital
  • Mount Gilead, OH
  • NPI 1790775161
  Care Compare affiliation
• Selby General Hospital

  • Critical Access Hospital
  • Marietta, OH
  • NPI 1124073465
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1427084573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD",
            "address_2": "STE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354647",
            "telephone_number": "614-396-4750",
            "fax_number": "614-396-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "STE 5360",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-340-7747",
            "fax_number": "614-340-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAGO",
        "first_name": "DURELL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35060751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0877029",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Mitchell Tracy, M.D.
• Erynn Tracy
• Kristin K Tracy, C.R.N.A.
• Mallory Tracy, PHARMD, BCPS
• Wayne Daniel Traetow, MD
• Killian R Trago
• Shadi Traish, MSW, LISW-S
• Danielle Rebecca Trakimas, MD
• Joanne Tralmer
• Keisha N Trammell

• Diagnostic Radiology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.