Individual provider Active NPI

Tony Tran, CRNA

  • Certified Registered Nurse Anesthetist
  • Blair, NE
National Provider Identifier
1124056569
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
53517 Issued in NE
Practice address
810 N 22ND St
Blair, NE 68008-1128
Phone
(402) 426-2182
Fax
(402) 426-1181
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D117138 IA
Certified Registered Nurse Anesthetist 367500000X 53517 NE Primary

Addresses

Primary practice location

810 N 22ND St
Blair, NE 68008-1128

Mailing address

810 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-2182

Other practice location 1

6901 N 72 Street
Omaha, NE 68122-1635
Phone (402) 778-9738

Other practice location 2

810 N 22nd St
Blair, NE 68008-1128
Phone (402) 426-2182

Other practice location 3

6901 N 72 Street
Omaha, NE 68122-1635
Phone (402) 778-9738

Other identifiers 8

IdentifierTypeStateIssuer
098713OtherNEMEDICARE-IMC/BERGAN
47055043815MedicaidNE
10025507900MedicaidNE
10025745800MedicaidNE
NA1324OtherNEMEDICARE-MIDLANDS
I21224OtherIAMEDICARE-MERCY
098713OtherNEMEDICARE-BERGAN
10025709800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060829000468 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688678931 Reassigns benefits to 3 organizations
I20071102000076 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688678931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Physician Enterprise-Anesthesia LLCGroup PAC ID 2264794569, shared by 2 NPIs, 224 clinicians

Practice addresses (Care Compare)

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 717-4866

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (402) 717-4866

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D117138IAMDCertified Registered Nurse Anesthetist
53517NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Current Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Alegent Creighton Clinic CurrentSince Jan 1, 2016 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Alegent Creighton Clinic CurrentSince Jan 1, 2016 Accepting new patients
Alegent Creighton Clinic CurrentSince Jan 1, 2016 Accepting new patients
CHI Health Clinic Specialty, LLC Past Accepting new patients
North Platte Nebraska Physician Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500

100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021

2771 Solution Ctr
Chicago, IL 60677

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

6901 N 72nd St
Ste 22330
Omaha, NE 68122
Phone (402) 717-4673

7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

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 3

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124056569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081128",
            "telephone_number": "402-426-2182",
            "fax_number": "402-426-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081128",
            "telephone_number": "402-426-2182",
            "fax_number": "402-426-1181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 N 72 Street",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681221635",
            "country_code": "US",
            "telephone_number": "402-778-9738",
            "fax_number": "402-334-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Blair",
            "state": "NE",
            "postal_code": "680081128",
            "country_code": "US",
            "telephone_number": "402-426-2182",
            "fax_number": "402-426-1181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 N 72 Street",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681221635",
            "country_code": "US",
            "telephone_number": "402-778-9738",
            "fax_number": "402-334-2849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TONY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D117138",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "53517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-IMC/BERGAN",
            "identifier": "098713",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055043815",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025507900",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025745800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-MIDLANDS",
            "identifier": "NA1324",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-MERCY",
            "identifier": "I21224",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-BERGAN",
            "identifier": "098713",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025709800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blair, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.