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

Travis Holt, MD

Individual provider Surgery Physician · NPI 1932320819

Travis Holt, MD is a Colorectal Surgery (Proctology) in Normal, Illinois. Graduated from Southern Illinois University School of Medicine in 2003, 23 years ago. Practices with Carle West Physician Group Inc, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2007
Specialties on file
2
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

1300 Franklin Ave Ste 210
Normal, IL 61761-3588
Phone: (309) 268-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1505 Eastland Dr, Bloomington, IL 61701-3534 — (309) 662-9022

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 036121834 (IL)
Surgery Physician Taxonomy 208600000X · Licence 125-046054 (IL)

Record details

NPI number1932320819
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESDecember 7, 2023
Certification dateDecember 6, 2023
Mailing address611 W Park St, Fapc, Urbana, IL 61801-2500

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Carle West Physician Group Inc — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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