NPIMap

Individual provider Active NPI

Travers J McLoughlin, MD

  • Radiation Oncology Physician
  • Lodi, CA
National Provider Identifier
1619910346
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A92339 Issued in CA
Practice address
311 S Ham LN
Lodi, CA 95242-3512
Phone
(209) 365-1761
Fax
(209) 333-3673
NPI assigned
Jun 13, 2006
Last updated
Jul 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A92339 CA Primary

Addresses

Primary practice location

311 S Ham LN
Lodi, CA 95242-3512

Mailing address

311 S Ham LN
Lodi, CA 95242-3512
Phone (209) 368-5262

Other identifiers 2

IdentifierTypeStateIssuer
00A923390MedicaidCA
P00441161OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000948 CA Practitioner - Radiation Oncology 1951311562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92339CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2020 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Sep 15, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2020 Accepting new patients
Sonora Community Hospital CurrentSince Dec 15, 2018 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Sonora Community Hospital CurrentSince Dec 15, 2018 Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

801 S Ham Ln
Ste S
Lodi, CA 95242
Phone (209) 333-8066

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1000 Greenley Rd
Ofc
Sonora, CA 95370
Phone (209) 536-3427

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1619910346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S HAM LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423512",
            "telephone_number": "209-368-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S HAM LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423512",
            "telephone_number": "209-365-1761",
            "fax_number": "209-333-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLOUGHLIN",
        "first_name": "TRAVERS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A92339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A923390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00441161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.