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Deactivated NPI 1821093634 Deactivated / Inactive NPI Male Practitioner

Dr. Richard D Travers , MD

Specialist • Manassas, VA

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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. Richard Travers has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2005
NPI Deactivation Date August 09, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Travers, MD was a registered Specialist practicing in Manassas, VA. Throughout an active medical career spanning 18 years, Dr. Travers provided care at the practice location at 8640 SUDLEY RD STE 201 until profile deactivation on 2023-08-09.

Practice Location & Contact Primary Location

Practice Address

8640 Sudley Rd Ste 201

Manassas, VA 201104404

Telephone 7033686819
Fax 7033302923

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Manassas, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Manassas, VA (878 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101025413

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

20 Associated Practitioners
Jacqueline Ramirez , PA-C

Physician Assistant

NPI 1003317256

Physician Assistant (Certified)

Crystal Mcgovern , NP

Nurse Practitioner - Family

NPI 1063714244

Nurse Practitioner

Dr. Nina Phatak , MD

Internal Medicine - Gastroenterology

NPI 1093828147

Doctor of Medicine (M.D.)

Anup Manes , ANP

Nurse Practitioner - Adult Health

NPI 1134463292

Adult Nurse Practitioner

Dr. Darren Baroni , MD

Internal Medicine - Gastroenterology

NPI 1154377497

Doctor of Medicine (M.D.)

Dr. Jin Park , MD

Internal Medicine - Gastroenterology

NPI 1225033038

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 August 09, 2023

Record deactivated on August 09, 2023

NPI Profile Active October 05, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2012

Registered at 8640 SUDLEY RD STE 201, MANASSAS, VA 201104404 (Tel: 7033686819)

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Updated Business Mailing Address October 05, 2012

Registered at 8640 SUDLEY RD STE 201, MANASSAS, VA 201104404 (Tel: 7033686819)

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Provider Name / Credentials Updated October 05, 2012

Recorded as RICHARD TRAVERS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2012

Specialist (License #0101025413 in VA)

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Initial NPI Registration & Enumeration June 17, 2005

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: 1821093634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2005
Last Update: October 05, 2012
Deactivation Date: August 09, 2023

Mailing Address

8640 Sudley Rd Ste 201

Manassas, VA 201104404

Phone: 7033686819

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.