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TRAVIS LOIDOLT D.O. INC
NPI 1720649940
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Roseville, CA

Active since June 27, 2019
584 N. SUNRISE AVE., SUITE 100, ROSEVILLE, CA 95661(916) 800-4685(916) 512-3901 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Travis Loidolt D.o. Inc NPPES

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

TRAVIS LOIDOLT D.O. INC (NPI 1720649940) is a healthcare organization registered as an orthopaedic surgery of the spine in Roseville, California and active in the NPI registry since June 2019. The organization lists Travis Loidolt, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1720649940
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameTRAVIS LOIDOLT D.O. INC
Location Address584 N. SUNRISE AVE., SUITE 100Roseville, CA 95661-2862
Mailing Address2001 Rattlesnake Rd.Newcastle, CA 95658-9722 · (916) 663-2100 · Fax (916) 663-2103
Phone(916) 800-4685
Fax(916) 512-3901
Organization SubpartNo
Authorized OfficialTravis LoidoltManaging Physician · (916) 800-4685
Enumeration DateJune 27, 2019
✔ NPI 1720649940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
584 N. SUNRISE AVE., Roseville, CA 95661
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis Loidolt D.o. Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Travis Loidolt D.O. Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Travis Loidolt, DO
Orthopedic Surgery
NPI 1811254329
2240 DOUGLAS BLVD STE 210
Roseville, CA 95661
(916) 800-4685
✔ PECOS✔ Accepts Medicare1.6 mi
Brian Blackburn, D.O.
Orthopedic Surgery
NPI 1851687297
2220 E BIDWELL ST
Folsom, CA 95630
(916) 800-4685
✔ PECOS✔ Accepts Medicare

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 Travis Loidolt D.O. Inc's NPI number?

The NPI number for Travis Loidolt D.O. Inc is 1720649940. It was assigned to this organization in the NPPES registry on June 27, 2019.

Where is Travis Loidolt D.O. Inc located?

Travis Loidolt D.O. Inc is located at 584 N. Sunrise Ave. Suite 100, Roseville, CA 95661. The listed phone number is (916) 800-4685.

What is Travis Loidolt D.O. Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Travis Loidolt D.O. Inc enrolled in Medicare?

Yes. Travis Loidolt D.O. Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Travis Loidolt D.O. Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Travis Loidolt D.O. Inc. 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. Of these, 1 practice 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 Travis Loidolt D.O. Inc was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.