Individual provider Active NPI

Ike Van Trinh, M.D.

  • Anesthesiology Physician
  • South Bend, IN
National Provider Identifier
1083691687
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1060671 Issued in IN
Practice address
416 E Monroe St
Suite 200
South Bend, IN 46601-2360
Phone
(574) 232-8119
Fax
(574) 288-0235
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 1060671 IN Primary

Addresses

Primary practice location

416 E Monroe St
Suite 200
South Bend, IN 46601-2360

Mailing address

416 E Monroe St
Suite 200
South Bend, IN 46601-2360
Phone (574) 232-8119

Other identifiers 1

IdentifierTypeStateIssuer
200524060MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119003255 FL Practitioner - Anesthesiology 6901834258 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Florida LLCGroup PAC ID 8921522376, 43 clinicians
North Pinellas Anesthesia Associates, PAGroup PAC ID 5496915597, 22 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (352) 688-8200

12900 Cortez Blvd
Suite 103
Brooksville, FL 34613-6897
Phone (352) 596-1145

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (954) 939-5000

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

5016 W Cypress St
Tampa, FL 33607-3804
Phone (941) 360-1566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1060671INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology Current Accepting new patients
North Pinellas Anesthesia Associates, PA Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
Northstar Anesthesia of Florida LLC Anesthesiology CurrentSince Mar 8, 2025 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Aug 8, 2022 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

14104 Yosemite Dr
Hudson, FL 34667
Phone (727) 869-5040

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

5016 W Cypress St
Tampa, FL 33607
Phone (813) 542-2586

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

9332 State Road 54
Ste 400
Trinity, FL 34655
Phone (727) 372-4779

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Organizations & group practices 9

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 1

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1083691687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E MONROE ST",
            "address_2": "SUITE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012360",
            "telephone_number": "574-232-8119",
            "fax_number": "574-288-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E MONROE ST",
            "address_2": "SUITE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012360",
            "telephone_number": "574-232-8119",
            "fax_number": "574-288-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "IKE",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "1060671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200524060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.