Individual provider Active NPI

Ryan T Trauring, DO

  • Internal Medicine Physician
  • Kokomo, IN
National Provider Identifier
1700900016
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02003102A Issued in IN
Practice address
615 Saint Joseph Dr
Kokomo, IN 46901-1890
Phone
(765) 459-4070
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02003102A IN Primary

Addresses

Primary practice location

615 Saint Joseph Dr
Kokomo, IN 46901-1890

Mailing address

615 Saint Joseph Dr
Kokomo, IN 46901-1890

Other practice location 1

1907 W Sycamore St Fl 3
Kokomo, IN 46901-5148
Phone (765) 236-8363

Other identifiers 1

IdentifierTypeStateIssuer
200867620MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan.trauring.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20070823000666 IN Practitioner - Internal Medicine 5092807925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone (765) 236-8457

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003102AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Internal Medicine Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Nov 26, 2012 Accepting new patients

Locations

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

1907 W Sycamore St
Fl 3
Kokomo, IN 46901
Phone (765) 236-8300

615 Saint Joseph Dr
Kokomo, IN 46901
Phone (765) 236-0610

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1700900016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SAINT JOSEPH DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469011890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT JOSEPH DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469011890",
            "telephone_number": "765-459-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 W Sycamore St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469015148",
            "country_code": "US",
            "telephone_number": "765-236-8363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAURING",
        "first_name": "RYAN",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02003102A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200867620",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.trauring.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "615 Saint Joseph Dr",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469011890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.