Individual provider Active NPI

Paul Cu Tran, D.P.M.

  • Podiatrist
  • Saranac Lake, NY
National Provider Identifier
1063519973
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005721 Issued in NY
Practice address
136 Broadway Ste 3
Saranac Lake, NY 12983-1404
Phone
(518) 891-9161
Fax
(518) 891-9187
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 005721 NY Primary

Addresses

Primary practice location

136 Broadway Ste 3
Saranac Lake, NY 12983-1404

Mailing address

PO Box 1239
Saranac Lake, NY 12983-7239
Phone (518) 891-9161

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000161 NY Practitioner - Podiatry 5294632717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Foot ClinicGroup PAC ID 9032016548, 2 clinicians

Practice addresses (Care Compare)

136 Broadway
Suite 3
Saranac Lake, NY 12983-1404
Phone (518) 891-9161

Hospital & facility affiliations

  • The University of Vermont Health Network-Alice Hy Hospital, Malone, NY, CCN 331321
  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005721NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Foot Clinic Podiatrist CurrentSince Dec 15, 2003 Accepting new patients

Locations

246 W Main St
Ste 5
Malone, NY 12953
Phone (518) 483-4284

136 Broadway
Ste 3
Saranac Lake, NY 12983
Phone (518) 891-4471

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 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1063519973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129837239",
            "telephone_number": "518-891-9161",
            "fax_number": "518-891-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BROADWAY STE 3",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831404",
            "telephone_number": "518-891-9161",
            "fax_number": "518-891-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PAUL",
        "middle_name": "CU",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

Verify at the official NPI Registry.