TRAUMA TEAM MEDICAL GROUP INCORPORATED
NPI 1417907510
Emergency Medicine in San Diego, CA
About Trauma Team Medical Group Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAUMA TEAM MEDICAL GROUP INCORPORATED (NPI 1417907510) is a healthcare organization registered as an emergency medicine in San Diego, California and active in the NPI registry since May 2006. The organization lists Vishal Bansal, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trauma Team Medical Group Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Trauma Team Medical Group Incorporated, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
San Diego, CA 92134
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Trauma Team Medical Group Incorporated's NPI number?
The NPI number for Trauma Team Medical Group Incorporated is 1417907510. It was assigned to this organization in the NPPES registry on May 11, 2006.
Where is Trauma Team Medical Group Incorporated located?
Trauma Team Medical Group Incorporated is located at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 294-8111.
What is Trauma Team Medical Group Incorporated's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Trauma Team Medical Group Incorporated enrolled in Medicare?
Yes. Trauma Team Medical Group Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Trauma Team Medical Group Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Trauma Team Medical Group Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (6), Vascular Surgery (5) and Critical Care (Intensivists) (2). Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Trauma Team Medical Group Incorporated was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Trauma Team Medical Group Incorporated · NPI 1417907510
Emergency Medicine organization in San Diego, California. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1417907510 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Vishal Bansal, PRESIDENT
## Practice location
- **Address:** 4077 FIFTH AVE, San Diego, CA 92103-2105
- **Phone:** (619) 294-8111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (6), Vascular Surgery (5), Critical Care (Intensivists) (2); 1 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2024
- **Other identifiers:** Medicaid 1417907510 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1417907510) · Data from the CMS NPPES public registry.