DANIEL TRAVIS MD
NPI 1578093480
Family Medicine in Brooklyn, NY

Q: What is Daniel Travis's NPI number?

The NPI number for Daniel Travis is 1578093480. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Q: What is Daniel Travis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Travis was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 13, 2017PECOS EnrolledAccepts Medicare Assignment

1114 LIBERTY AVE, BROOKLYN, NY 11208(718) 765-6058(347) 808-4895 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2025, Mar 3, 2025, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

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About Daniel Travis Md NPPES

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

DANIEL TRAVIS MD (NPI 1578093480) is an individual family medicine provider in Brooklyn, New York, licensed in New York (308230) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578093480

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDANIEL TRAVISCredential: MD

Location Address1114 LIBERTY AVEBrooklyn, NY 11208-2922

Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730

Phone(718) 765-6058

Fax(347) 808-4895

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 13, 2017

Last NPPES UpdateAugust 4, 20255 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1578093480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 308230

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1114 LIBERTY AVE, Brooklyn, NY 11208

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Secondary Practice Locations 3

Location 1101 Saint Andrews LnGlen Cove, NY 11542-2254 · Phone (516) 674-7631 · Fax (516) 674-7639

Location 2195 Montague StBrooklyn, NY 11201-3628 · Phone (718) 422-8000 · Fax (718) 422-8265

Location 34708 5th AveBrooklyn, NY 11220-1210 · Phone (718) 576-2959 · Fax (718) 228-4240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Travis Md 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 ID9638423262

PECOS Enrollment IDI20210125001008

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.

Medicare Billing Reassignments

Medicare enrollment records show Daniel Travis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Street Health Of New York Medical Group PC

1.9 mi

Primary Care

455 SUTTER AVE
Brooklyn, NY 11212

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Griffin Myers Medical PC
101 clinicians in this Medicare group

NPI 1780209445 (718) 765-6550

Advantagecare Physicians PC

8.5 mi

General Practice

215 E 95TH ST
New York, NY 10128

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1336578772 (212) 996-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DR. SARA ILANA FONTANEZ M.D.

Family Medicine