Individual provider Active NPI

Khoa D Tran, M.D.

  • Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1124011945
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L8981 Issued in TX
Practice address
10311 N Eldridge Pkwy
#B-4
Houston, TX 77065-5368
Phone
(281) 897-1112
Fax
(281) 897-9993
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X L8981 TX
Otolaryngology Physician 207Y00000X L8981 TX Primary

Addresses

Primary practice location

10311 N Eldridge Pkwy
#B-4
Houston, TX 77065-5368

Mailing address

10311 N Eldridge Pkwy
#B-4
Houston, TX 77065-5368
Phone (281) 897-1112

Other identifiers 1

IdentifierTypeStateIssuer
158165438OtherTXGROUP NPI

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
I20040805000904 TX Practitioner - Otolaryngology 4981675584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Perelman School of Med at the University of Pennsylvania, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10311 N Eldridge Pkwy
Suite B4
Houston, TX 77065-5369
Phone (281) 897-1112

Hospital & facility affiliations

  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Head and Neck Surgical PA CurrentSince Jun 2, 2006 Accepting new patients
Head & Neck Surgical Associates Otolaryngology Past Accepting new patients

Locations

10311 N Eldridge Pkwy
Ste B4
Houston, TX 77065
Phone (281) 897-1112

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 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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1124011945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 N ELDRIDGE PKWY",
            "address_2": "#B-4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655368",
            "telephone_number": "281-897-1112",
            "fax_number": "281-897-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 N ELDRIDGE PKWY",
            "address_2": "#B-4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655368",
            "telephone_number": "281-897-1112",
            "fax_number": "281-897-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KHOA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "L8981",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L8981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "158165438",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.