TRAVIS TUCK DO
NPI 1396599106
Military Health Care Provider in Apo, AA

Active since April 16, 2024PECOS Enrolled
224 WEST D.L. INGRAM AVE, BLDG. 1408, APO, AA 88103(575) 784-2778 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Apr 16, 2024 (2 updates tracked since 2024).

About Travis Tuck Do NPPES

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

TRAVIS TUCK DO (NPI 1396599106) is an individual military health care provider provider in Apo, AA, licensed in Ohio (34.018179) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1396599106
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameTRAVIS TUCKCredential: DO
Location Address224 WEST D.L. INGRAM AVE, BLDG. 1408Apo, AA 88103
Mailing Address225 Abbey RdClovis, NM 88101-8042 · (850) 559-6621
Sole ProprietorYes
Enumeration DateApril 16, 2024
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
NPI 1396599106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License Licensed in OH · 34.018179
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 58.034243 (OH)
224 WEST D.L. INGRAM AVE, Apo, AA 88103

Secondary Practice Location 1

Location 130 E Apple St Ste 6258Dayton, OH 45409-2939 · Phone (937) 208-8000

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 Tuck Do 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

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

Social Worker (Clinical)
224 WEST D.L. INGRAM AVE
CLOVIS, NM 88103

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 Tuck's NPI number?

The NPI number for Travis Tuck is 1396599106. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Travis Tuck located?

Travis Tuck practices at 224 West D.L. Ingram Ave Bldg. 1408, Apo, AA 88103. The listed phone number is (575) 784-2778.

What is Travis Tuck's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Travis Tuck enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Travis Tuck was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.