Active NPI
Reginald Trevino, M.D.
- Internal Medicine Physician
- Fort Carson, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01070114A
- Practice address
- 1650 Cochrane Cir # B7500
Fort Carson, CO 80913-4613 - Phone
- (999) 999-9999
- NPI assigned
- Jun 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0448801 | KS | |
| Internal Medicine Physician | 207R00000X | 01070114A | IN | Primary |
Addresses
Primary practice location
1650 Cochrane Cir # B7500
Fort Carson, CO 80913-4613
Mailing address
1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Other practice location 1
550 Pope Ave Bldg 343
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6423
Other practice location 2
3550 S 4th St
Leavenworth, KS 66048-5071
Phone (913) 680-6000
Other practice location 3
8929 Parallel Pkwy
Kansas City, KS 66112-1689
Phone (913) 596-4168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Colorado School of Medicine, Denver, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8929 Parallel Pkwy
Kansas City, KS 66112-1689
Phone (913) 596-4000
Hospital & facility affiliations
- Saint John Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0448801 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Physician Services - Providence Inc | Internal Medicine | Current | Accepting new patients |
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients | |
| Prime Healthcare Services - Saint John Leavenworth, LLC | Past | Accepting new patients |
Locations
8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930
757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299
3550 S 4th St
Leavenworth, KS 66048
Phone (800) 903-2088
3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
Organizations & group practices 3
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.
-
- General Practice Physician
- Shawnee, KS
- NPI 1356683213
Internal Medicine
-
- General Practice Physician
- Leavenworth, KS
- NPI 1972119741
-
- General Acute Care Hospital
- Leavenworth, KS
- NPI 1568705267
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leavenworth, KS
- NPI 1568705267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1508187378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR UNIT MEDDAC",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR # B7500",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134613",
"telephone_number": "999-999-9999"
}
],
"practiceLocations": [
{
"address_1": "550 Pope Ave Bldg 343",
"address_purpose": "LOCATION",
"city": "Fort Leavenworth",
"state": "KS",
"postal_code": "660272332",
"country_code": "US",
"telephone_number": "913-684-6423",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3550 S 4th St",
"address_purpose": "LOCATION",
"city": "Leavenworth",
"state": "KS",
"postal_code": "660485071",
"country_code": "US",
"telephone_number": "913-680-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8929 Parallel Pkwy",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661121689",
"country_code": "US",
"telephone_number": "913-596-4168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREVINO",
"first_name": "REGINALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-16",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "0448801",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01070114A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.