Individual provider Active NPI

Phu Duc Tran, M.D.

  • Anesthesiology Physician
  • Bronx, NY
National Provider Identifier
1043693500
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
299844 Issued in NY
Practice address
234 E 149TH St
Bronx, NY 10451-5504
Phone
(718) 579-5874
Fax
(718) 579-4836
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 299844 NY Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

234 E 149TH St
Bronx, NY 10451-5504

Mailing address

4121 28TH St Apt 13H
Long Island City, NY 11101-3766
Phone (619) 309-5893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190821001752 NY Practitioner - Anesthesiology 0547598195 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299844NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Endoscopy LLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Ainsworth Medical Associates, PLLC CurrentSince Jun 3, 2024 Accepting new patients
Parviz Soomekh MD PC Anesthesiology CurrentSince Oct 16, 2025 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Nov 2, 2020 Accepting new patients
Jamaica Anesthesiologist, PC Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1 Delaware Dr
New Hyde Park, NY 11042
Phone (516) 336-5255

115 E 57th St
Ste 1210
New York, NY 10022
Phone (212) 203-2813

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1043693500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 28TH ST APT 13H",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013766",
            "telephone_number": "619-309-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5874",
            "fax_number": "718-579-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHU",
        "middle_name": "DUC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "299844",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.