Active NPI
Kiet Tuan La, MD
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME137806
- Practice address
- 10987 Sheldon Rd Ste 200
Tampa, FL 33626-4702 - Phone
- (813) 467-4800
- Fax
- (813) 467-4252
- NPI assigned
- Apr 7, 2017
- Last updated
- Oct 14, 2021
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | ME137806 | FL | Primary |
Addresses
Primary practice location
10987 Sheldon Rd Ste 200
Tampa, FL 33626-4702
Mailing address
10987 Sheldon Rd Ste 200
Tampa, FL 33626-4702
Phone (813) 467-4800
Other names 1
- Kiet Tuan Tran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Family Practice
- Education
- University of Florida College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10987 Sheldon Rd
Suite 200
Tampa, FL 33626-4702
Phone (813) 467-4800
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Primary Care Network Inc | Family Medicine | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Family Medicine | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
10987 Sheldon Rd
Ste 200
Tampa, FL 33626
Phone (813) 467-4800
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGIBBA
- kla227953@adventhealth.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
-
dba AdventHealth Carrollwood
- General Acute Care Hospital
- Tampa, FL
- NPI 1427068345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1083147862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10987 SHELDON RD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336264702",
"telephone_number": "813-467-4800",
"fax_number": "813-467-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10987 SHELDON RD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336264702",
"telephone_number": "813-467-4800",
"fax_number": "813-467-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA",
"first_name": "KIET",
"middle_name": "TUAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME137806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIET",
"last_name": "TRAN",
"middle_name": "TUAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.