Individual provider Active NPI

Talitha Skory Travis, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1891955803
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0061648 Issued in CO
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jun 12, 2008
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 106432 CA
Diagnostic Radiology Physician 2085R0202X 76807 TN
Diagnostic Radiology Physician 2085R0202X DR.0061648 CO Primary
Diagnostic Radiology Physician 2085R0202X ME181694 FL

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 1

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005

Other practice location 2

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other practice location 3

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (877) 856-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VT, CO, TN, NC, NJ, FL7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20130819000647 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4082856281 Reassigns benefits to 2 organizations
I20170815001953 VT Practitioner - Diagnostic Radiology 4082856281 Reassigns benefits to 2 organizations
I20190605000224 CO Practitioner - Diagnostic Radiology 4082856281 Reassigns benefits to 11 organizations
I20260309001894 TN Practitioner - Diagnostic Radiology 4082856281 Reassigns benefits to 1 organization
I20260327003063 NC Practitioner - Diagnostic Radiology 4082856281 Reassigns benefits to 1 organization
I20260508000004 NJ Practitioner - Diagnostic Radiology 4082856281 Reassigns benefits to 1 organization
I20260610001032 FL Practitioner - Diagnostic Radiology 4082856281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Davis School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians
Carlos G Otis Health Care Center IncGroup PAC ID 6002726387, shared by 4 NPIs, 46 clinicians
Donalsonville Hospital IncGroup PAC ID 7113919820, 63 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
North Georgia RadiologyGroup PAC ID 9032103296, 36 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

Fort Collins, CO 80526
Phone (570) 271-6144

Berkeley, CA 94705
Phone (570) 214-9907

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

185 Grafton Rd
Townshend, VT 05353-8820
Phone (802) 365-3601

2508 Bedford CT
Fort Collins, CO 80526-5228
Phone (229) 524-5217

2612 Kit PL
Fort Collins, CO 80526-2157
Phone (760) 674-3850

28 Covington Dr
Englewood, CO 80113-4145
Phone (952) 595-1100

7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone (865) 558-9822

8596 E 35TH Ave
Denver, CO 80238-3418
Phone (404) 662-2438

PO Box
Suite 216
Townshend, VT 05353-0216

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0061648COMDDiagnostic Radiology Physician
ME181694FLMDDiagnostic Radiology Physician
76807TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 23, 2025 Accepting new patients
Alameda Health System CurrentSince Jun 20, 2013 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 14, 2019 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Jul 31, 2017 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Jul 31, 2017 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 16, 2022 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Carlos G. Otis Health Care Center Inc. Current Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Alameda Health System CurrentSince Jun 20, 2013 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 6, 2026 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jul 15, 2018 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Aug 28, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 6, 2026 Accepting new patients
Alameda Health System Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 14, 2019 Accepting new patients
North Georgia Radiology CurrentSince Aug 1, 2022 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince May 20, 2019 Accepting new patients
Community Medical Center Past Accepting new patients
Ephrata Community Hospital Past Accepting new patients
Geisinger Medical Center Past Accepting new patients
Geisinger Jersey Shore Hospital Past Accepting new patients
Alameda Health System Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Wishon Radiological Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Effingham Hospital, Inc. Past Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients
Geisinger Lewistown Hospital Past Accepting new patients
Central Vermont Medical Center Inc Past Accepting new patients
South Georgia Medical Center Past Accepting new patients
Geisinger Health System Past Accepting new patients

Locations

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

File 57326
Los Angeles, CA 90074

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005

Interoperability endpoints

  • Direct secure messaging: ttravis361602@hisp.ehr.sutterhealth.org

Organizations & group practices 43

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 43

Hospital & facility affiliations 6

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1891955803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-588-8005",
            "fax_number": "865-588-7716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13813 Metro Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124343",
            "country_code": "US",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "TALITHA",
        "middle_name": "SKORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "106432",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "76807",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0061648",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME181694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.