Individual provider Active NPI

Thuc-Nguyen Vu Tran, DO

  • Adult Medicine Physician
  • Carrollton, TX
National Provider Identifier
1114995305
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
K5719 Issued in TX
Practice address
4100 Fairway Dr Ste 320
Carrollton, TX 75010-6537
Phone
(972) 236-7608
Fax
(972) 236-7606
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X K5719 TX
Adult Medicine Physician 207QA0505X K5719 TX Primary

Addresses

Primary practice location

4100 Fairway Dr Ste 320
Carrollton, TX 75010-6537

Mailing address

PO Box 833414
Richardson, TX 75083-3414
Phone (214) 228-3844

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
I20100316000930 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 4385779313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Kansas City University of Physicians and Surgeons, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairway Family Medicine-Primary Care PLLCGroup PAC ID 2264689827, 2 clinicians

Practice addresses (Care Compare)

4100 Fairway Dr
Suite 320
Carrollton, TX 75010-6537
Phone (972) 236-7608

Hospital & facility affiliations

  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: thucnguyen.tran@fwfm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHJBA/Endpoint/BDHJBA

Organizations & group practices 1

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1114995305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833414",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750833414",
            "telephone_number": "214-228-3844",
            "fax_number": "866-696-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR STE 320",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106537",
            "telephone_number": "972-236-7608",
            "fax_number": "972-236-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THUC-NGUYEN",
        "middle_name": "VU",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K5719",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "K5719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.