Individual provider Active NPI

Travis Reed, DO

  • Surgery Physician
  • Roswell, NM
National Provider Identifier
1780879502
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A-1476-08 Issued in NM
Practice address
601 W Country Club Rd Ste 201
Roswell, NM 88201-5225
Phone
(575) 627-0535
Fax
(575) 627-5590
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101015726 MI
Surgery Physician 208600000X A-1476-08 NM Primary

Addresses

Primary practice location

601 W Country Club Rd Ste 201
Roswell, NM 88201-5225

Mailing address

601 W Country Club Rd Ste 201
Roswell, NM 88201-5225
Phone (575) 627-0535

Other practice location 1

22444 S 196th Cir
Queen Creek, AZ 85142-7656
Phone (575) 808-3154

Other identifiers 1

IdentifierTypeStateIssuer
N0025580MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address travis.reed.1@1610.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ, TX, MT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090121000223 NM Practitioner - General SurgeryPractitioner - Emergency Medicine 0042374936 Reassigns benefits to 1 organization
I20110216000610 AZ Practitioner - General Surgery 0042374936 Reassigns benefits to 1 organization
I20250128004616 TX Practitioner - General Surgery 0042374936 Reassigns benefits to 1 organization
I20250422001439 MT Practitioner - General Surgery 0042374936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015726MIMDSurgery Physician
A-1476-08NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Montana Hospital CurrentSince Oct 11, 2025 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 27, 2025 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Nov 1, 2011 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Nov 1, 2011 Accepting new patients
Roswell Clinic Corp CurrentSince Jul 22, 2025 Accepting new patients
Northern Montana Hospital CurrentSince Oct 11, 2025 Accepting new patients
Roswell Clinic Corp Surgery CurrentSince Jul 22, 2025 Accepting new patients

Locations

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700

37100 N Gantzel Rd
Ste 202
San Tan Valley, AZ 85140
Phone (480) 394-4469

37100 N Gantzel Rd
Ste 107
San Tan Vly, AZ 85140
Phone (480) 394-4480

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

20 13th St W
Havre, MT 59501
Phone (406) 262-1701

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

601 W Country Club Rd
Ste 201
Roswell, NM 88201
Phone (505) 627-0535

Interoperability endpoints

  • Direct secure messaging: travis.reed.1@1610.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1780879502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W COUNTRY CLUB RD STE 201",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015225",
            "telephone_number": "575-627-0535",
            "fax_number": "575-627-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W COUNTRY CLUB RD STE 201",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015225",
            "telephone_number": "575-627-0535",
            "fax_number": "575-627-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22444 S 196th Cir",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851427656",
            "country_code": "US",
            "telephone_number": "575-808-3154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "TRAVIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101015726",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "A-1476-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0025580",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "travis.reed.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "601 W Country Club Rd Ste 201",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.