MARK TRAILL MD NPI 1972555308

NPI Information

  • NPI: 1972555308
  • Provider Name: MARK TRAILL, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5900 BYRON CENTER AVE SW
    WYOMING, MI
    ZIP 49519
  • Phone: (616) 252-7159

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NPI Details

Mark Traill, MD is a diagnostic radiology radiology in Wyoming, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark Traill, MD NPI is 1972555308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5900 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519
Phone: (616) 252-7159
Fax: (616) 252-6990

The NPI 1972555308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 5/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology036076940ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036076940MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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