Individual provider Active NPI

Travis D Terrell, MD

  • Obstetrics & Gynecology Physician
  • Battle Creek, MI
National Provider Identifier
1891781944
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
TT054634 Issued in MI
Practice address
2545 Capital Ave SW
Suite 207
Battle Creek, MI 49015
Phone
(269) 552-0223
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TT054634 MI Primary

Addresses

Primary practice location

2545 Capital Ave SW
Suite 207
Battle Creek, MI 49015

Mailing address

2545 Capital Ave SW
Suite 207
Battle Creek, MI 49015-7120
Phone (269) 552-0223

Other practice location 1

215 E Mansion St Ste 3D
Marshall, MI 49068-1167
Phone (269) 558-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050411000875 MI Practitioner - Obstetrics/Gynecology 0446297568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

215 E Mansion St
1E Oaklawn Medical Group
Marshall, MI 49068-1559
Phone (269) 789-8272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TT054634MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle CurrentSince Nov 28, 2022 Accepting new patients
Ascension Medical Group Promed Current Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Nov 28, 2022 Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients

Locations

5352 Beckley Rd
Ste A
Battle Creek, MI 49015
Phone (269) 979-6800

14231 Beadle Lake Rd
Battle Creek, MI 49014
Phone (269) 704-5180

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

1717 Shaffer St
Ste 2
Kalamazoo, MI 49048

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

215 E Mansion St
Ste 1E
Marshall, MI 49068
Phone (269) 781-3938

215 E Mansion St
Ste 3D
Marshall, MI 49068
Phone (269) 558-0702

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Interoperability endpoints

  • Direct secure messaging: travis.terrell.1@9698.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1891781944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW",
            "address_2": "SUITE 207",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157120",
            "telephone_number": "269-552-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW",
            "address_2": "SUITE 207",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "269-552-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E Mansion St Ste 3D",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MI",
            "postal_code": "490681167",
            "country_code": "US",
            "telephone_number": "269-558-0702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "TRAVIS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "TT054634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.