Individual provider Active NPI

Travis James, PA-C

  • Physician Assistant
  • Salem, IL
National Provider Identifier
1518200575
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.005204 Issued in IL
Practice address
1325 W Whittaker St
Suite 3
Salem, IL 62881-2007
Phone
(618) 548-2400
Fax
(618) 548-2402
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.005204 IL Primary

Addresses

Primary practice location

1325 W Whittaker St
Suite 3
Salem, IL 62881-2007

Mailing address

1325 W Whittaker St
Suite 3
Salem, IL 62881-2007
Phone (618) 548-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, VA, KY, WV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20201119003344 IN Practitioner - Physician Assistant 9032339700 Reassigns benefits to 1 organization
I20210715001606 VA Practitioner - Physician Assistant 9032339700
I20220201002831 KY Practitioner - Physician Assistant 9032339700
I20230420002994 WV Practitioner - Physician Assistant 9032339700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

100 Cherry Tree PLZ
Suite B
Washington, IN 47501-4539
Phone (800) 683-8313

1001 N Western Ave
Suite C
Marion, IN 46952-2568
Phone (800) 683-8313

1017 3Rd St
Columbus, IN 47201-6870
Phone (608) 977-7226

1408 Darlington Ave
Crawfordsville, IN 47933-2056
Phone (800) 683-8313

1528 NW 5TH St
Suite 100
Richmond, IN 47374-1844
Phone (800) 683-8313

1919 State St
Suite 244
New Albany, IN 47150-6804
Phone (608) 977-7226

225 Morton Ave
Martinsville, IN 46151-2471
Phone (800) 683-8313

3282 Mallard Cove LN
Fort Wayne, IN 46804-2883
Phone (800) 683-8313

508 W 2ND St
Groups Recover Together
Bloomington, IN 47403-2316
Phone (800) 683-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2507WVMDGeneral Practice Dentistry
4592TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, LLC CurrentSince Oct 1, 2020 Accepting new patients
Decatur Digestive Diseases PC Past Accepting new patients

Locations

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

Dept CH17590
Palatine, IL 60055

1017 3rd St
Columbus, IN 47201
Phone (608) 977-7226

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

6212 Jefferson Ave
Newport News, VA 23605

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1518200575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W WHITTAKER ST",
            "address_2": "SUITE 3",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812007",
            "telephone_number": "618-548-2400",
            "fax_number": "618-548-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W WHITTAKER ST",
            "address_2": "SUITE 3",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812007",
            "telephone_number": "618-548-2400",
            "fax_number": "618-548-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "TRAVIS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.005204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

Verify at the official NPI Registry.