Individual provider Active NPI

Thomas Tran, M.D.

  • Family Medicine Physician
  • Ennis, TX
National Provider Identifier
1104843705
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6043 Issued in TX
Practice address
2203 W Ennis Ave
Suite 300
Ennis, TX 75119-8050
Phone
(972) 875-2858
Fax
(972) 875-2928
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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 J6043 TX Primary

Addresses

Primary practice location

2203 W Ennis Ave
Suite 300
Ennis, TX 75119-8050

Mailing address

2203 W Ennis Ave
Suite 300
Ennis, TX 75119-8050
Phone (972) 875-2858

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920001102 TX Practitioner - Family Practice 2668440496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2203 W Ennis Ave
Suite 300
Ennis, TX 75119-8048
Phone (972) 875-2858

Hospital & facility affiliations

  • Ennis Regional Medical Center Hospital, Ennis, TX, CCN 450833
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6043TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas T. Tran MD PA Ennis Family Medicine Family Medicine CurrentSince May 10, 2012 Accepting new patients
Bayside Emergency Physicians, LLP Past Accepting new patients
Lake Sulphur Springs Emergency Physicians Past Accepting new patients
Abk Emergency Physicians PLLC Past Accepting new patients
Bayside Emergency Pyhsicians, LLP Past Accepting new patients

Locations

2203 W Ennis Ave
Ste 300
Ennis, TX 75119
Phone (972) 875-2858

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIIBA/Endpoint/GIIIBA

Organizations & group practices 5

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 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1104843705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W ENNIS AVE",
            "address_2": "SUITE 300",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751198050",
            "telephone_number": "972-875-2858",
            "fax_number": "972-875-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W ENNIS AVE",
            "address_2": "SUITE 300",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751198050",
            "telephone_number": "972-875-2858",
            "fax_number": "972-875-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

Verify at the official NPI Registry.