Individual provider Active NPI

Sotirios Travlos, DO

  • Psychiatry Physician
  • Evanston, IL
National Provider Identifier
1528705282
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.179012 Issued in IL
Practice address
1740 Ridge Ave Ste 214
Evanston, IL 60201-5909
Phone
(224) 204-0788
NPI assigned
May 15, 2022
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.179012 IL Primary

Addresses

Primary practice location

1740 Ridge Ave Ste 214
Evanston, IL 60201-5909

Mailing address

1438 W Highland Ave
Chicago, IL 60660-1318
Phone (224) 204-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220622002241 IN Order and Referring Only - PsychiatryPractitioner - Psychiatry 9436538444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intune Psychiatry, PLLC Psychiatry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sotirios.travlos.p1@direct.geminus.nextgenshare.com

Organizations & group practices 1

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": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1528705282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 W HIGHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601318",
            "telephone_number": "224-204-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE 214",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015909",
            "telephone_number": "224-204-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVLOS",
        "first_name": "SOTIRIOS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-15",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.179012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.