Individual provider Active NPI

Travis Roy Torngren, MD

  • Orthopaedic Surgery Physician
  • Rexburg, ID
National Provider Identifier
1508086844
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M-11045 Issued in ID
Practice address
360 E Main St
Rexburg, ID 83440-2015
Phone
(208) 356-9550
Fax
(208) 356-8023
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M-11045 ID Primary

Addresses

Primary practice location

360 E Main St
Rexburg, ID 83440-2015

Mailing address

360 E Main St
Rexburg, ID 83440-2015
Phone (208) 356-9550

Other identifiers 1

IdentifierTypeStateIssuer
1184799298MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20140917001167 ID Practitioner - Orthopedic Surgery 1052561016 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-11045IDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc Orthopaedic Surgery Current Accepting new patients
Madison Co Memorial Hospital CurrentSince Nov 4, 2024 Accepting new patients
Teton Valley Health Care, Inc CurrentSince Aug 1, 2018 Accepting new patients
Madison Co Memorial Hospital Current Accepting new patients
Teton Valley Health Care Inc Orthopaedic Surgery CurrentSince Aug 1, 2018 Accepting new patients
Madison Co Memorial Hospital CurrentSince Nov 4, 2024 Accepting new patients
Madison Co Memorial Hospital Orthopaedic Surgery Past Accepting new patients

Locations

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

360 E Main St
Rexburg, ID 83440
Phone (208) 356-5959

381 E 4th N
#200
Rexburg, ID 83440
Phone (208) 359-2300

393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401

Organizations & group practices 9

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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nevada School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Co Memorial Hospital 34 clinicians

Practice addresses (Care Compare)

360 E Main St
Rexburg, ID 83440-2015
Phone (208) 356-9550

Hospital & facility affiliations

  • Rexburg Home Health Home health agency, Rexburg, ID, CCN 137090
  • Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025
  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement18
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)20

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1508086844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E MAIN ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402015",
            "telephone_number": "208-356-9550",
            "fax_number": "415-928-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E MAIN ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402015",
            "telephone_number": "208-356-9550",
            "fax_number": "208-356-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNGREN",
        "first_name": "TRAVIS",
        "middle_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-11045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184799298",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.