Individual provider Active NPI

Thi Ngoc Tran, M.D.

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1073662003
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD12168 Issued in HI
Practice address
1700 Lanakila Ave
Honolulu, HI 96817-2115
Phone
(808) 832-3823
Fax
(808) 832-5850
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD12168 HI Primary

Addresses

Primary practice location

1700 Lanakila Ave
Honolulu, HI 96817-2115

Mailing address

1700 Lanakila Ave
Honolulu, HI 96817-2115
Phone (808) 832-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20100217000565 HI Practitioner - Psychiatry 6608910419 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12168HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Hawaii, Department of Health Current Accepting new patients
State of Hawaii Department of Health Psychiatry CurrentSince Dec 30, 2009 Accepting new patients
State of Hawaii Department of Health CurrentSince Dec 30, 2009 Accepting new patients

Locations

1700 Lanakila Ave
Honolulu, HI 96817
Phone (808) 832-3823

3627 Kilauea Ave
Ste 410
Honolulu, HI 96816
Phone (808) 733-9260

45-691 Keaahala Rd
Kaneohe, HI 96744
Phone (808) 233-3775

1830 Honoapiilani Hwy
Lahaina, HI 96761
Phone (808) 662-4031

860 4th St
Ste 204
Pearl City, HI 96782
Phone (808) 453-5950

Organizations & group practices 3

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1073662003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LANAKILA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172115",
            "telephone_number": "808-832-5800",
            "fax_number": "808-832-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LANAKILA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172115",
            "telephone_number": "808-832-3823",
            "fax_number": "808-832-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THI NGOC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD12168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.