DR. TRAVIS JAY CANOVA (DO) – Diagnostic Radiology Physician, NPI 1144635269

DR. TRAVIS JAY CANOVA (DO) is a healthcare provider. based in Clinton, Utah. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 11629842-1204 (UT). The NPI Number for DR. TRAVIS JAY CANOVA (DO) is 1144635269

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRAVIS JAY CANOVA (DO)
NPI
1144635269
Phone
(801) 549-7227
Address
1232 N 2560 W
Enumeration Date
26 June 2014
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352589598
Graduation Year
2014 (12 years ago)
PAC ID
7911228671
Group Practice PAC ID
2466624630
Professional Enrollment ID
I20201020002571
Address ID
UT843411788LO2310X400X301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

345 DIAGNOSTIC RADIOLOGY in UT

Provider Addresses for DR. TRAVIS JAY CANOVA (DO)

  • 1232 N 2560 W

    CLINTON, UT 840152773

    Phone: (801) 549-7227

    Type: Location

  • 660 S EUCLID AVE

    CB 8131

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Mailing

  • 510 S KINGSHIGHWAY BLVD

    SAINT LOUIS, MO 631101016

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Location

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: 2026-01-06

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
I20201020002571IDiagnostic RadiologyUTTBD
I20260106001418IDiagnostic RadiologyTNTBD

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 view401370$0
70450Ct scan head or brain without contrast185182$0
74177Ct scan of abdomen and pelvis with contrast184180$0
71275Ct scan of blood vessels of chest with contrast124122$0
71046X-ray of chest, 2 views114113$0
View full utilization report →

Insurance plans in this area (ZIP 84015)

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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: 2466624630View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyCO
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT

Reviews

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Frequently asked questions

Does DR. TRAVIS JAY CANOVA (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. TRAVIS JAY CANOVA (DO) uses 1144635269.
Is DR. TRAVIS JAY CANOVA (DO) listed as active for patients and plans?
The listing shows DR. TRAVIS JAY CANOVA (DO) as active in the NPI system.
What is DR. TRAVIS JAY CANOVA (DO)'s specialty?
The listing groups DR. TRAVIS JAY CANOVA (DO) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. TRAVIS JAY CANOVA (DO) on a map?
Expect Clinton, Utah as a primary anchor for DR. TRAVIS JAY CANOVA (DO) unless the record lists multiple sites.
Why does DR. TRAVIS JAY CANOVA (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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