Van T. Tran, DO
Individual provider Active NPI Family Medicine Physician · Mission, KS
NPI 1013963255 · NPPES record last updated Feb 15, 2010
Key facts
- NPI
- 1013963255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05-28736 (KS)
- Practice address
- 6511 Johnson Drive
Mission Family Health Care
Mission, KS 66205 - Phone
- (913) 261-3300
- Fax
- (913) 261-3317
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100204000682 | KS | Practitioner - Family Practice | 1254474877 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-28736 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mission Medical Center, Inc. | Current |
Accepting new patients | |
| Shawnee Mission Medical Center Inc | Family Medicine | Current |
Accepting new patients |
| Jayhawk Primary Care Inc | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Jayhawk Primary Care Inc | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Jayhawk Primary Care Inc | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
| KVC Hospitals Inc | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Mid-America Cardiology Associates, Inc. | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
Locations
7315 E Frontage Rd
Ste 202
Merriam, KS 66204
14744 W 119th St
Olathe, KS 66062
Phone (913) 839-1759
9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100
9040 Quivira Rd
Shawnee Msn, KS 66215
Phone (913) 492-9675
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-28736 | KS | Yes |
Addresses
Primary practice location
6511 Johnson Drive
Mission Family Health Care
Mission, KS 66205
Mailing address
2330 Shawnee Mission Pkwy
Medical Administrative Services of Ku Med, Ste. 312
Westwood, KS 66205-2005
Phone (913) 588-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25020041 | Other | BCBS PROVIDER NUMBER | |
| 25562039 | Other | BCBS KUMW UC | |
| 3732660 | Other | AETNA KUMW UC | |
| 080172745 | Other | RR MEDICARE | |
| 2107651 | Other | AETNA | |
| 357581 | Other | FIRSTGUARD KUMW UC | |
| 481159444 | Other | JAYHAWK TAX ID | |
| 157695XX | Other | PREFERRED CARE OF NY | |
| 10001635900 | Other | CHP PROVIDER NUMBER | |
| 100391560A | Medicaid | KS |
Other providers in Mission, KS
- Meghan Ann Tierney
- Kaitlyn Marie Tomblin
- Claire Ann Torralba
- Timothy Ku Tosh
- Total Access Urgent Care of Kansas, P.a
- Transformative Nursing Soultions
- Triforce Chiropractic
- Tara Turpin
- Jason Ulanet
- Angela Vandegrift
All providers in Mission, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.