Active NPI 1720255128 Individual Practitioner Male Practitioner

Dr. Travis John Riddell , MD

Pediatrics • Jackson, WY

Professional Overview & Biography Verified Profile Summary

Dr. Travis Riddell, MD is a registered healthcare professional specializing in Pediatrics in Jackson, WY. Practice services are available at 460 E PEARL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

460 E Pearl Ave

Jackson, WY 830018410

Telephone 3077336401

Associated Practice Facility / Clinic

🏢 County Of Teton Facility NPI 1952334393

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jackson, WY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 16.5 Yrs

Regional Practice Density

9 Specialists

Practicing in Jackson, WY (83 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

CMS Verified: 2025-08-25

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 229430

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 26, 2025

Registered at 460 E PEARL AVE, JACKSON, WY 830018410 (Tel: 3077336401)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2025

Pediatrics (License #229430 in MA)

✅

NPI Profile Active July 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 02, 2009

Registered at 557 E. BROADWAY, JACKSON, WY 83001 (Tel: 3077334627)

📍

Updated Business Mailing Address July 02, 2009

Registered at PO BOX 1029, JACKSON, WY 830011029 (Tel: 3077334627)

👤

Provider Name / Credentials Updated July 02, 2009

Recorded as TRAVIS RIDDELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2009

Pediatrics (License #8169A in WY)

🟢

Initial NPI Registration & Enumeration May 14, 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: 1720255128

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 14, 2008

Last Update: August 26, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1029

Jackson, WY 830011029

Phone: 3077334627

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.