Individual provider Active NPI

Chad E Travers, MD

  • Cardiovascular Disease Physician
  • Lincoln, NE
National Provider Identifier
1932366697
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
26784 Issued in NE
Practice address
1600 S 48TH St
Ste 600
Lincoln, NE 68506-1275
Phone
(402) 483-3333
Fax
(402) 483-3297
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125-051415 IL
Cardiovascular Disease Physician 207RC0000X 26784 NE Primary

Addresses

Primary practice location

1600 S 48TH St
Ste 600
Lincoln, NE 68506-1275

Mailing address

PO Box 6607
Lincoln, NE 68506-0607
Phone (402) 483-3333

Other identifiers 6

IdentifierTypeStateIssuer
10026072300MedicaidNE
10026072400MedicaidNE
10026072200MedicaidNE
10026072600MedicaidNE
10026072000MedicaidNE
10026072500MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS, IA, MO4 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
I20120810000471 NE Practitioner - Cardiovascular Disease (Cardiology) 8921254756 Reassigns benefits to 1 organization
I20181009001885 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921254756 Reassigns benefits to 1 organization
I20181010001831 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921254756 Reassigns benefits to 1 organization
I20181017003539 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921254756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Cardiology Group LLCGroup PAC ID 7911803796, 78 clinicians

Practice addresses (Care Compare)

1600 S 48TH St
Lincoln, NE 68506-1299

1600 S 48TH St
600 Bryan Heart
Lincoln, NE 68506-1275
Phone (402) 483-3333

220 Essie Davison Dr
Clarinda Regional Health Center
Clarinda, IA 51632-2915
Phone (712) 542-2176

26136 US Hwy 59
Fairfax, MO 64446-9105
Phone (660) 686-2211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.61 of 100Reported as group
Quality
87.74
Promoting interoperability
100
Improvement activities
40
Cost
67.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-051415ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Cardiology Group LLC Cardiovascular Disease CurrentSince Dec 1, 2017 Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

26136 US Highway 59
#A
Fairfax, MO 64446
Phone (660) 686-2211

26136 US Highway 59
Fairfax, MO 64446
Phone (660) 686-2211

2022 13th St
Auburn, NE 68305
Phone (402) 274-4366

4508 38th St
Ste 107
Columbus, NE 68601
Phone (402) 562-1533

1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

Interoperability endpoints

  • Direct secure messaging: ctravers10930@hisp.bryanhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1932366697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6607",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060607",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "address_2": "STE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061275",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "CHAD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-051415",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "26784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.