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

Mitchell E F Travis, MD

Individual provider Diagnostic Radiology Physician · NPI 1336174598

Mitchell E F Travis, MD is a Diagnostic Radiology in Fort Wayne, Indiana. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1994, 32 years ago. Practices with Fort Wayne Radiology Associates LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Indiana, Minnesota, Tennessee and Washington.

Years since qualifying
32
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IN, MN, TN, WA
In the registry since
2006
Specialties on file
4
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

10517 Maple Springs Cv
Fort Wayne, IN 46845-2132
Phone: (952) 595-1100
Fax: (612) 294-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01043985 (IN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60447306 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 1876 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 51163 (TN)

Record details

NPI number1336174598
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing address3707 New Vision Dr, Fort Wayne, IN 46845-1702

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Fort Wayne Radiology Associates Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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