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Deactivated NPI 1164673976 Deactivated / Inactive NPI Male Practitioner

Dr. Travis Brad Kidner , MD

Surgery • Beverly Hills, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Travis Kidner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2008
NPI Deactivation Date September 20, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Travis Kidner, MD was a registered Surgery practicing in Beverly Hills, CA. Throughout an active medical career spanning 15 years, Dr. Kidner provided care at the practice location at 120 SOUTH SPALDING DRIVE until profile deactivation on 2023-09-20.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, opening of windpipe through neck for insertion of breathing tube. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

120 South Spalding Drive

Beverly Hills, CA 90210

Telephone 3102755074
Fax 3108611436
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Beverly Hills, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.8 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Beverly Hills, CA (3346 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
303 49 $300.00 $125.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
48 47 $400.00 $182.39

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A100292

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Anthony Alter , MD

Orthopaedic Surgery

NPI 1750453726

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 20, 2023

Record deactivated on September 20, 2023

NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2012

Registered at 120 SOUTH SPALDING DRIVE, BEVERLY HILLS, CA 90210 (Tel: 3102755074)

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Updated Business Mailing Address September 11, 2012

Registered at 8250 GRAND VIEW DR, LOS ANGELES, CA 900461916 (Tel: 3236569889)

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Provider Name / Credentials Updated September 11, 2012

Recorded as TRAVIS KIDNER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Surgery (License #A100292 in CA)

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Initial NPI Registration & Enumeration October 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164673976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2008
Last Update: September 11, 2012
Deactivation Date: September 20, 2023

Mailing Address

8250 Grand View Dr

Los Angeles, CA 900461916

Phone: 3236569889

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.