Thomas G. Trautmann, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

30104 Issued in NC

Practice address

1057 Red Ventures Dr Ste 150
Fort Mill, SC 29707-2518

Phone

(803) 548-3708

Fax

(803) 431-2249

NPI assigned

Mar 20, 2006

Last updated

Dec 27, 2017By 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 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJDHDD

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.

• Piedmont Carolinas Radiation Therapy LLC

  dba Lancaster Radiaton Therapy Center

  • Radiation Oncology Clinic/Center
  • Lancaster, SC
  • NPI 1538485578
  Medicare reassignment NPD
• Radiation Oncology Centers of the Carolinas, Inc.

  dba Lake Norman Radiation Oncology Center

  • Radiation Oncology Physician
  • Mooresville, NC
  • NPI 1023055365
  Medicare reassignment NPD
• Southeast Radiation Oncology Group, P.a.

  • Radiation Oncology Physician
  • Charlotte, NC
  • NPI 1568400109
  Medicare reassignment NPD
• Piedmont Carolinas Radiation Therapy LLC

  dba Rock Hill Radiation Therapy Center

  • Radiation Oncology Clinic/Center
  • Rock Hill, SC
  • NPI 1366553034
  NPD
• Hospice & Palliative Care Charlotte Region

  dba VIA Health Partners

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fort Mill, SC
  • NPI 1417570771
  NPD (past)
• Pineville Radiation Therapy Center, LLC

  • Radiation Oncology Clinic/Center
  • Charlotte, NC
  • NPI 1316194871
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1437118338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E 7TH ST STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042408",
            "telephone_number": "704-375-0100",
            "fax_number": "704-375-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 RED VENTURES DR STE 150",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297072518",
            "telephone_number": "803-548-3708",
            "fax_number": "803-431-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281126000",
            "country_code": "US",
            "telephone_number": "704-225-2826",
            "fax_number": "704-225-2827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAUTMANN",
        "first_name": "THOMAS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "21301",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "30104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1818082007",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N30104",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1170F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2086657",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8983701",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "84865",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "6225",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Renee Torres
• Total Renal Care Inc (Fort Mill Dialysis)
• Alessandra Giovanna Tozzi
• Tracey W Sellers
• Molly Marie Transou, CCC-SLP
• Zodelva Travis
• Trinity Support Group, Inc
• Mia Troiano
• Fabiana Rievers Troxler, ANP-C
• Michael Truesdale

• Radiation Oncology Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Radiation Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.