Active NPI
Carol Tran, PA
- Medical Physician Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA2016-0057
- Practice address
- 3810 Masthead St NE
Albuquerque, NM 87109-4479 - Phone
- (058) 438-7585
- Fax
- (505) 843-8759
- NPI assigned
- Jun 23, 2005
- Last updated
- May 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2016-0057 | NM | Primary |
| Medical Physician Assistant | 363AM0700X | PA04560 | TX |
Addresses
Primary practice location
3810 Masthead St NE
Albuquerque, NM 87109-4479
Mailing address
3810 Masthead St NE
Albuquerque, NM 87109-4479
Phone (505) 843-8758
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840878 | Other | TX | BCBS |
| P00298578 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3810 Masthead St NE
Albuquerque, NM 87109-4479
Phone (505) 843-8758
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4450 | AZ | MD | Clinical Neuropsychologist |
| 1253 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnisleep LLC | Current | Accepting new patients | |
| Orthopedic and Reconstructive Center P C | Past | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients | |
| Abilene Cardiology Consultants PA | Past | Accepting new patients |
Locations
3810 Masthead St NE
Albuquerque, NM 87109
Phone (505) 243-3514
6500 Jefferson St NE
Ste 100
Albuquerque, NM 87109
Phone (505) 843-8758
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sleep Disorder Diagnostic Clinic/Center
- Albuquerque, NM
- NPI 1508093469
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1417068875
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1326095068
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1043216179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 MASTHEAD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094479",
"telephone_number": "505-843-8758",
"fax_number": "505-843-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 MASTHEAD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094479",
"telephone_number": "058-438-7585",
"fax_number": "505-843-8759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "CAROL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NM",
"license": "PA2016-0057",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA04560",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "840878",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00298578",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.