Travis Moakley Mattingly, DO

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

OS022855 Issued in PA

Practice address

100 E Lancaster Ave Ste 467
Wynnewood, PA 19096-3434

Phone

(610) 896-0210

Fax

(610) 896-5101

NPI assigned

Jun 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Infectious Disease

Education

University of New England, College of Osteo Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware Valley I.D. Associates, P.C.Group PAC ID 2365421161, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
• Temple Health - Chestnut Hill Hospital Hospital, Philadelphia, PA, CCN 390026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: travis.mattingly@dvid.eclinicaldirectplus.com

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.

• Delaware Valley I.D. Associates, P.C.

  • Infectious Disease Physician
  • Wynnewood, PA
  • NPI 1871517540
  Medicare reassignment Care Compare group NPD

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

• CHH Community Health

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1437865953
  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1700370137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 467",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963434",
            "telephone_number": "610-896-0210",
            "fax_number": "610-896-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 467",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963434",
            "telephone_number": "610-896-0210",
            "fax_number": "610-896-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "TRAVIS",
        "middle_name": "MOAKLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "OS022855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George L Martin, MD
• Gianna Marie Martini, DO
• Anthony Marziano Jr., MPT
• Mavra Masood
• Nidhi Master, M.D.
• Jayln Maulfair, PA-C
• Julia Mayberry, MD
• Caitlyn McBride, PA-C
• Amanda Marie McClendon, PAC
• McConnell & Peden Associates

• Infectious Disease Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.

Verify at the official NPI Registry.