ELIJAH SHAUN TROUT (D.O.) – Diagnostic Radiology Physician, NPI 1811283930

ELIJAH SHAUN TROUT (D.O.) is a healthcare provider. based in Iowa city, Iowa. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101019560 (MI). The NPI Number for ELIJAH SHAUN TROUT (D.O.) is 1811283930

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
ELIJAH SHAUN TROUT (D.O.)
NPI
1811283930
Phone
(319) 356-3396
Address
200 HAWKINS DR
Enumeration Date
27 June 2011
Last Update Date
28 July 2023

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
8662873198
Graduation Year
2011 (15 years ago)
PAC ID
7113219171
Group Practice PAC ID
5092798645
Professional Enrollment ID
I20240404004388
Address ID
PR007039626AG34XXXJACA300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

434 DIAGNOSTIC RADIOLOGY in IA

Provider Addresses for ELIJAH SHAUN TROUT (D.O.)

  • 200 HAWKINS DR

    DEPARTMENT OF RADIOLOGY

    IOWA CITY, IA 522421009

    Phone: (319) 356-3396

    Type: Mailing

  • 23107 ISTHMUS COVE CT

    KATY, TX 774946501

    Phone: (806) 831-1895

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-04

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
I20170623000544IDiagnostic RadiologyTXTBD
I20240404004388IDiagnostic RadiologyPRTBD

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
71045X-ray of chest, 1 view586500$0
71046X-ray of chest, 2 views394383$0
73030X-ray of shoulder, minimum of 2 views278245$0
77080Dxa bone density measurement of hip, pelvis, spine270270$0
73562X-ray of knee, 3 views256190$0
View full utilization report →

Insurance plans in this area (ZIP 52242)

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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: 5092798645View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyTX
Diagnostic RadiologyKY
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic Radiology, Interventional RadiologyTX
Diagnostic RadiologyTX
-MN
Diagnostic RadiologyTX
-TX

Reviews

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Frequently asked questions

How do I look up ELIJAH SHAUN TROUT (D.O.) by NPI?
Use NPI 1811283930 when you need to reference ELIJAH SHAUN TROUT (D.O.) in forms, claims, or directories.
Is ELIJAH SHAUN TROUT (D.O.)'s NPI currently valid?
The extract we use shows ELIJAH SHAUN TROUT (D.O.) as active.
Can you summarize ELIJAH SHAUN TROUT (D.O.)'s specialty in plain language?
Clinically, the directory lists ELIJAH SHAUN TROUT (D.O.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is ELIJAH SHAUN TROUT (D.O.)'s primary listing?
We display Iowa City, Iowa because that is what the record indicates for ELIJAH SHAUN TROUT (D.O.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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