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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TRAVIS MICHAEL OWEN MD
NPI 1255179206
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 16, 2024PECOS Enrolled
10122 E 10TH ST STE 100, INDIANAPOLIS, IN 46229(317) 355-5717(317) 355-3760 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Travis Michael Owen Md NPPES

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

TRAVIS MICHAEL OWEN MD (NPI 1255179206) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11024921A) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1255179206
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTRAVIS MICHAEL OWENCredential: MD
Location Address10122 E 10TH ST STE 100Indianapolis, IN 46229-2697
Mailing Address10122 E 10th St Ste 100Indianapolis, IN 46229-2697
Phone(317) 355-5717
Fax(317) 355-3760
Sole ProprietorNo
Enumeration DateJuly 16, 2024
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1255179206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 11024921A
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.

10122 E 10TH ST STE 100, Indianapolis, IN 46229
Open in Google Maps ↗

Secondary Practice Location 1

Location 1635 Barnhill Dr # 126Indianapolis, IN 46202-5126 · Phone (317) 274-8980

Other Identifiers 1

Medicaid300132823IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis Michael Owen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

LAUREN AMANDA CALLAHAN
Nurse Practitioner (Family)
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
SHELBY N O'BRIEN LCSW
Social Worker (Clinical)
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (616) 826-7303
AARON THARP DO
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
DR. KENT PHILIP BRANTLY M.D.
Family Medicine
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
DR. ALISON CASE MD
Family Medicine
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
CAITLIN SHIVAUN WELCH MD
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (931) 252-5036
KATHERINE MORAVEC DO
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
ZEINAB O HASSAN MD
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717

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 Travis Owen's NPI number?

The NPI number for Travis Owen is 1255179206. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Travis Owen located?

Travis Owen practices at 10122 E 10th St Ste 100, Indianapolis, IN 46229. The listed phone number is (317) 355-5717.

What is Travis Owen's specialty?

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

Is Travis Owen enrolled in Medicare?

Yes. Travis Owen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Travis Owen was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.