TRAVIS WALLER MD
NPI 1568705879
Pediatrics in Yokosuka, JAPAN
NPI Status: Active since April 04, 2013
Contact Information
NAVAL HOSPITAL YOKOSUKA
YOKOSUKA, JAPAN
ZIP 96350
Phone: (936) 552-6503
- Individual
- Male
- Pediatrics
- PECOS Enrolled
About TRAVIS WALLER
This page provides the complete NPI Profile along with additional information for Travis Waller, a pediatrician established in Yokosuka, with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1568705879 assigned on April 2013. The practitioner's primary taxonomy code is 208000000X with license number 2014023894 (MO). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1568705879
- Provider Name
- TRAVIS WALLER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- NAVAL HOSPITAL YOKOSUKA YOKOSUKA, JAPAN 96350
- Location Phone
- (936) 552-6503
- Mailing Address
- PSC 475 BOX 1 FPO, AP 96350
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-04-2013
- Last Update Date
- 06-18-2025
- Code Navigator
A pediatrician like Travis Waller is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2014023894
- License State
- MO
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | M-2105 (GU) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Travis Waller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 7 | 0 | 5 | 8 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 14 | 0 | 10 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 4 + 0 + 1 + 0 + 8 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1568705879 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083145064 | BRENDAN BARRETT MD Individual | Emergency Medicine | NAVAL HOSPITAL YOKOSUKA EMERGENCY DEPT FPO, AP 96350 (046) 816-8595 |
| 1942569926 | FEDERICO MANUEL SANCHEZ IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | NAVAL HOSPITAL YOKOSUKA PSC 475 BX1, FPO-AP 96350 (315) 763-8786 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568705879, enumerated in the NPI registry as an "individual" on April 04, 2013
The provider is located at Naval Hospital Yokosuka Yokosuka, Japan 96350 and the phone number is (936) 552-6503
The provider's speciality is Pediatrics with taxonomy code 208000000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 04, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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