KEVIN TRAILLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013401157

KEVIN TRAILLE (CRNA) is a healthcare provider. based in Bridgeport, Connecticut. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 123824 (CT). The NPI Number for KEVIN TRAILLE (CRNA) is 1013401157

Main info

Male
8 Years Of Experience
Name
KEVIN TRAILLE (CRNA)
NPI
1013401157
Phone
(203) 384-3174
Address
267 GRANT ST
Enumeration Date
21 June 2018
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2127462846
Graduation Year
2018 (8 years ago)
PAC ID
0345599502
Group Practice PAC ID
6800709023
Professional Enrollment ID
I20181018001493
Address ID
NY100654870NE525XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:7State licenses:3Digital endpointsOther names

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

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Provider Addresses for KEVIN TRAILLE (CRNA)

  • Bridgeport Hospital, 267, Grant Street, Historic East Side, Bridgeport, Fairfield County, Connecticut, 06610, United States

    BRIDGEPORT, CT 066102805

    Phone: (203) 384-3174

    Type: Mailing

  • 1773 Casey Ct

    Mohegan Lake, NY 105471066

    Phone: (646) 271-7577

    Type: Location

  • 575 LEXINGTON AVE

    NEW YORK, NY 100226102

    Phone: (646) 271-7577

    Type: Mailing

  • 21 BLOOMINGDALE RD

    WHITE PLAINS, NY 10605

    Phone: (646) 271-7577

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($50).

Total Amount

$113

General + Research + Ownership

Payments

5

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180821002129ICertified Registered Nurse Anesthetist (Crna)CTTBD
I20181018001493ICertified Registered Nurse Anesthetist (Crna)NYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4342$0
00812Anesthesia for exam of colon using an endoscope3130$0
00520Anesthesia for other closed procedure on chest1616$0
View full utilization report →

Insurance plans in this area (ZIP 06610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800709023View full group profile
NameSpecialtyState
N E U R O L O G YNY
Internal MedicineNY
-NY
-NY
A N E S T H E S I O L O G YNY
Internal MedicineNY
Infectious Disease, Internal MedicineNY
Diagnostic RadiologyNY
-NY
-NY

Reviews

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Frequently asked questions

Where can patients find KEVIN TRAILLE (CRNA)'s NPI?
You can confirm KEVIN TRAILLE (CRNA) with NPI 1013401157; it appears in the national provider directory.
Is KEVIN TRAILLE (CRNA) currently active in the NPI registry?
CMS-published data lists KEVIN TRAILLE (CRNA) as an active registrant.
What field does KEVIN TRAILLE (CRNA) work in?
You can think of KEVIN TRAILLE (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KEVIN TRAILLE (CRNA)?
The page summarizes Bridgeport, Connecticut for KEVIN TRAILLE (CRNA); expand the address list for detail.
Is KEVIN TRAILLE (CRNA) a real provider?
This page reflects official NPPES data for NPI 1013401157. Always confirm identity and privileges with the practice and licensing boards.

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