Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Travis John Ptacek, MD

Individual provider Family Medicine Physician · NPI 1477819944

Dr. Travis John Ptacek, MD is a Family Practice in Portsmouth, Virginia. Graduated from Nebraska College of Medicine in 2012, 14 years ago. Practices with Travis J Ptacek MD PLLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Dakota.

Years since qualifying
14
Trained at
Nebraska College of Medicine
Licensed in
SD
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

620 John Paul Jones Circle Naval Medical Center Portsmouth
Portsmouth, VA 23708-2197
Phone: (757) 953-5257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12126 (SD)

Record details

NPI number1477819944
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2012
Last updated in NPPESMarch 20, 2023
Certification dateMarch 17, 2023
Mailing address353 Fairmont Blvd, Rapid City, SD 57701-7375

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolNEBRASKA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Travis J Ptacek Md Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Portsmouth