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

Reginald Trevino, MD

Individual provider Internal Medicine Physician · NPI 1508187378

Reginald Trevino, MD is an Internal Medicine in Fort Leavenworth, Kansas. Graduated from University of Colorado School of Medicine, Denver in 2010, 16 years ago. Practices with Prime Healthcare Physician Services - Providence Inc, a 53-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Kansas.

Years since qualifying
16
Trained at
University of Colorado School of Medicine, Denver
Licensed in
IN, KS
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

550 Pope Ave Bldg 343
Fort Leavenworth, KS 66027-2332
Phone: (913) 684-6423
Show map & directions

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

Additional practice locations (2)

  • 8929 Parallel Pkwy, Kansas City, KS 66112-1689 — (913) 596-4168
  • 3550 S 4th St, Leavenworth, KS 66048-5071 — (913) 680-6000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0448801 (KS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01070114A (IN)

Record details

NPI number1508187378
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2010
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address9040a Jackson Ave, Jblm, WA 98431

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2010 (16 years in practice)
Group practice Prime Healthcare Physician Services - Providence Inc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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