Individual provider Active NPI

Travis Van Meter, MD

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
National Provider Identifier
1750339461
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
J4583 Issued in TX
Practice address
9101 N Central Expy Ste 550
Dallas, TX 75231-5947
Phone
(469) 458-9800
Fax
(469) 458-9900
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J4583 TX
Vascular & Interventional Radiology Physician 2085R0204X J4583 TX Primary

Addresses

Primary practice location

9101 N Central Expy Ste 550
Dallas, TX 75231-5947

Mailing address

111 Stow Ave Ste 200
Cuyahoga Falls, OH 44221-2560
Phone (330) 564-2659

Other identifiers 2

IdentifierTypeStateIssuer
039713504MedicaidTX
039713501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040129000514 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8123921228 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MTV Ir PLLCGroup PAC ID 1456574235, 2 clinicians

Practice addresses (Care Compare)

9101 N Central Expy
Suite 550
Dallas, TX 75231-5947
Phone (469) 458-9800

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4583TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MTV Ir Lab, LLC Current Accepting new patients
MTV Ir PLLC Vascular & Interventional Radiology CurrentSince Apr 1, 2014 Accepting new patients
A & V Doctors PLLC CurrentSince Apr 15, 2015 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Nov 1, 2017 Accepting new patients
Cardiac Cath Lab of Dallas, LP CurrentSince May 15, 2024 Accepting new patients
Southwest Medical Imaging PA Diagnostic Radiology CurrentSince Mar 11, 2014 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Nov 1, 2017 Accepting new patients
Acs Primary Care Physicians Southwest, PA Past Accepting new patients

Locations

111 Stow Ave
Ste 200
Cuyahoga Fls, OH 44221

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

7500 N Mesa St
Ste 210
El Paso, TX 79912
Phone (915) 307-2631

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

3200 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 502-7300

4214 Andrews Hwy
Ste 103
Midland, TX 79703
Phone (432) 221-1301

4214 Andrews Hwy
Midland, TX 79703
Phone (432) 522-2273

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1750339461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STOW AVE STE 200",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212560",
            "telephone_number": "330-564-2659",
            "fax_number": "330-546-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315947",
            "telephone_number": "469-458-9800",
            "fax_number": "469-458-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN METER",
        "first_name": "TRAVIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J4583",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "J4583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039713504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039713501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.