NPIMap

Individual provider Active NPI

Amanda Tran, MD

  • Family Medicine Physician
  • Mason City, IA
National Provider Identifier
1083105225
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R-11196 Issued in IA
Practice address
1010 4TH St SW Ste 340
Mason City, IA 50401-2856
Phone
(641) 428-7766
Fax
(641) 428-7788
NPI assigned
May 23, 2018
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-11196 IA Primary

Addresses

Primary practice location

1010 4TH St SW Ste 340
Mason City, IA 50401-2856

Mailing address

621 S Illinois Ave Ste 103
Mason City, IA 50401-5489
Phone (641) 428-3041

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.tran.p43@direct.trinity-healthiowa.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027001871 MN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 0648529974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-11196IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD. CurrentSince Sep 27, 2021 Accepting new patients
The Duluth Clinic, LTD CurrentSince Sep 27, 2021 Accepting new patients
St Marys Medical Center CurrentSince Sep 27, 2021 Accepting new patients
St. Mary's Medical Center CurrentSince Sep 27, 2021 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Essentia Health Virginia, LLC Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

400 E 3rd St
#6
Duluth, MN 55805
Phone (320) 360-1676

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

Interoperability endpoints

  • Direct secure messaging: amanda.tran.p43@direct.trinity-healthiowa.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1083105225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE STE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "641-428-3041",
            "fax_number": "641-428-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH ST SW STE 340",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012856",
            "telephone_number": "641-428-7766",
            "fax_number": "641-428-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.tran.p43@direct.trinity-healthiowa.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "MercyOne North Iowa Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1010 4th St SW Ste 340",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.