Individual provider Active NPI

Suzana Chau Tran, FNP

  • Family Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1093873358
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
649018 Issued in TX
Practice address
2727 Bolton Boone Dr Ste 114
Desoto, TX 75115-2019
Phone
(469) 857-3142
Fax
(469) 857-3077
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 649018 TX Primary

Addresses

Primary practice location

2727 Bolton Boone Dr Ste 114
Desoto, TX 75115-2019

Mailing address

6908 Catamaran Dr
Grand Prairie, TX 75054-7219
Phone (817) 575-7718

Other identifiers 2

IdentifierTypeStateIssuer
191328703MedicaidTX
8Y1079OtherTXBCBS

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
I20070621000233 TX Practitioner - Nurse Practitioner 5799884417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promontory Geriatrics LLCGroup PAC ID 0446437297, 2 clinicians

Practice addresses (Care Compare)

1631 Promontory Dr
Cedar Hill, TX 75104-1530

2727 Bolton Boone Dr
Suite 114
Desoto, TX 75115-2019
Phone (469) 857-3142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promontory Geriatrics LLC CurrentSince Aug 23, 2011 Accepting new patients
Medistat Group Associates, Inc. Past Accepting new patients
Medcare House Calls LLC Past Accepting new patients

Locations

2727 Bolton Boone Dr
Ste 114
Desoto, TX 75115
Phone (214) 343-7900

Interoperability endpoints

  • Direct secure messaging: suzana.tran@pg1.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDCGBD/Endpoint/FDCGBD

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1093873358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 CATAMARAN DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547219",
            "telephone_number": "817-575-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR STE 114",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "469-857-3142",
            "fax_number": "469-857-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "SUZANA",
        "middle_name": "CHAU",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "649018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191328703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y1079",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.