Individual provider Active NPI

Irene Tran, PA-C

  • Physician Assistant
  • Arlington, TX
National Provider Identifier
1073389284
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4401 Park Springs Blvd Ste 100
Arlington, TX 76017-1899
Phone
(817) 807-9060
Fax
(817) 419-4505
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4401 Park Springs Blvd Ste 100
Arlington, TX 76017-1899

Mailing address

4401 Park Springs Blvd Ste 100
Arlington, TX 76017-1899
Phone (817) 807-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117001657 TX Practitioner - Physician Assistant 1355793126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

4401 Park Springs Blvd
Suite 100
Arlington, TX 76017-1899
Phone (817) 807-9060

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Physician Assistant CurrentSince Jan 8, 2024 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

4401 Park Springs Blvd
Ste 100
Arlington, TX 76017
Phone (817) 807-9060

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

Interoperability endpoints

  • Direct secure messaging: irene.tran@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1073389284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171899",
            "telephone_number": "817-807-9060",
            "fax_number": "817-419-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171899",
            "telephone_number": "817-807-9060",
            "fax_number": "817-419-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "IRENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.