Active NPI
Thuan Tran, M.D.
- Behavioral Neurology & Neuropsychiatry Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- License
- MD463579
- Practice address
- 1401 S 4TH St
Philadelphia, PA 19147-5948 - Phone
- (215) 339-1070
- Fax
- (215) 339-1080
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | ME102392 | FL | |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | MD463579 | PA | Primary |
Addresses
Primary practice location
1401 S 4TH St
Philadelphia, PA 19147-5948
Mailing address
1401 S 31St St FL 2
Philadelphia, PA 19146-3506
Phone (215) 925-2400
Other practice location 1
2400 Gordon Smith Dr
Mobile, AL 36617-2319
Phone (251) 450-4359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 S 4TH St
Philadelphia, PA 19147-5948
Phone (215) 339-1079
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME102392 | FL | MD | Behavioral Neurology & Neuropsychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Philadelphia Health Action, Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients |
Locations
1401 S 31st St
#2
Philadelphia, PA 19146
1401 S 4th St
Philadelphia, PA 19147
Phone (215) 339-1070
432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000
5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1205140902
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1275151607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1053460758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S 31ST ST FL 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191463506",
"telephone_number": "215-925-2400",
"fax_number": "215-925-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S 4TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191475948",
"telephone_number": "215-339-1070",
"fax_number": "215-339-1080"
}
],
"practiceLocations": [
{
"address_1": "2400 Gordon Smith Dr",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366172319",
"country_code": "US",
"telephone_number": "251-450-4359",
"fax_number": "251-450-4323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "THUAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "FL",
"license": "ME102392",
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "PA",
"license": "MD463579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.