TRAVIS IKE OGOGOR DO
NPI 1487275517
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Q: What is Travis Ogogor's NPI number?

The NPI number for Travis Ogogor is 1487275517. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Q: What is Travis Ogogor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Travis Ogogor was last updated on April 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 29, 2020PECOS Enrolled

2301 HOLMES ST, KANSAS CITY, MO 64108(816) 404-4175(816) 404-0003 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Travis Ike Ogogor Do NPPES

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

TRAVIS IKE OGOGOR DO (NPI 1487275517) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487275517

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTRAVIS IKE OGOGORCredential: DO

Location Address2301 HOLMES STKansas City, MO 64108-2640

Mailing Address25823 Sarah Springs CtSpring, TX 77373-4980 · (816) 349-1322

Phone(816) 404-4175

Fax(816) 404-0003

Sole ProprietorNo

Enumeration DateApril 29, 2020

NPPES CertifiedApril 29, 2020

✔ NPI 1487275517 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

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.

2301 HOLMES ST, Kansas City, MO 64108

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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 Ike Ogogor 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.