DR. MACKENZIE SHANE TRELOAR M.D.
NPI 1104273655
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since May 14, 2016PECOS EnrolledAccepts Medicare Assignment
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8045 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, May 14, 2016 (2 updates tracked since 2016).

About Dr. Mackenzie Shane Treloar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MACKENZIE SHANE TRELOAR M.D. (NPI 1104273655) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2016).

NPPES Registry Identity

NPI1104273655
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MACKENZIE SHANE TRELOARCredential: M.D.
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address2333 Hetter StColumbus, OH 43228-9017 · (319) 239-2866
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2016
Enumeration DateMay 14, 2016
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPI 1104273655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
410 W 10TH AVE, Columbus, OH 43210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mackenzie Shane Treloar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981992674
PECOS Enrollment IDI20220808001870
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Treloar's NPI number?

The NPI number for Mackenzie Treloar is 1104273655. It was assigned to this individual provider in the NPPES registry on May 14, 2016.

Where is Mackenzie Treloar located?

Mackenzie Treloar practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8045.

What is Mackenzie Treloar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mackenzie Treloar enrolled in Medicare?

Yes. Mackenzie Treloar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mackenzie Treloar was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.