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

Jeffrey David Trachtenberg, MD

Individual provider Vascular Surgery Physician · NPI 1821070517

Jeffrey David Trachtenberg, MD is a Vascular Surgery in Decatur, Illinois. Graduated from State University of Ny Upstate Medical University in 1989, 37 years ago. Practices with Prairie Cardiovascular Consultants Ltd, a 94-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
37
Trained at
State University of Ny Upstate Medical University
Licensed in
IL
In the registry since
2005
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

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone: (217) 464-1722
Fax: (217) 464-1717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036103845 (IL)

Record details

NPI number1821070517
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 17, 2005
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address1800 E Lake Shore Dr, Decatur, IL 62521-3810

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1989 (37 years in practice)
Group practice Prairie Cardiovascular Consultants Ltd — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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