Individual provider Active NPI

Alexandria Tran, MD

  • Transplant Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1003311614
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
036.164802 Issued in IL
Practice address
5171 S Cottonwood St Ste 650
Salt Lake City, UT 84107-5716
Phone
(801) 507-9600
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 11414375-1205 UT
Surgery Physician 208600000X 036164802 IL
Transplant Surgery Physician 204F00000X 036.164802 IL Primary

Addresses

Primary practice location

5171 S Cottonwood St Ste 650
Salt Lake City, UT 84107-5716

Mailing address

5171 S Cottonwood St Ste 650
Salt Lake City, UT 84107-5716
Phone (801) 507-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231110002556 IL Practitioner - General Surgery 1355774092
I20251031002067 UT Practitioner - General Surgery 1355774092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Nebraska College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Canyon Surgical Associates, LLCGroup PAC ID 3779580774, 5 clinicians

Practice addresses (Care Compare)

5171 S Cottonwood St
Suite 650
Murray, UT 84107-5716
Phone (801) 507-9600

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.164802ILMDTransplant Surgery Physician
036164802ILMDSurgery Physician
11414375-1205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Surgical Associates, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

5171 S Cottonwood St
Ste 650
Salt Lake City, UT 84107
Phone (801) 507-9600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1003311614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 650",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075716",
            "telephone_number": "801-507-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 650",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075716",
            "telephone_number": "801-507-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ALEXANDRIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "11414375-1205",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036164802",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "IL",
            "license": "036.164802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.