Individual provider Active NPI

Dat Quoc Tran, M.D.

  • Allergy & Immunology Physician
  • Bellaire, TX
National Provider Identifier
1124259072
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
N4167 Issued in TX
Practice address
5001 Bissonnet St Ste 200
Bellaire, TX 77401-4023
Phone
(281) 701-5457
Fax
(281) 605-6815
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X N4167 TX Primary

Addresses

Primary practice location

5001 Bissonnet St Ste 200
Bellaire, TX 77401-4023

Mailing address

5001 Bissonnet St Ste 200
Bellaire, TX 77401-4023
Phone (281) 701-5457

Other identifiers 2

IdentifierTypeStateIssuer
8CD520OtherTXBCBSTX
206121001MedicaidTX

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
I20091021000577 TX Practitioner - Allergy/Immunology 7618014770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Tulane University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative AllergyGroup PAC ID 8426303041, 4 clinicians

Practice addresses (Care Compare)

3411 Gulf Fwy
Dickinson, TX 77539-4118
Phone (281) 256-7182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4167TXMDAllergy & Immunology Physician

Interoperability endpoints

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1124259072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BISSONNET ST STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014023",
            "telephone_number": "281-701-5457",
            "fax_number": "281-605-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 BISSONNET ST STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014023",
            "telephone_number": "281-701-5457",
            "fax_number": "281-605-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DAT",
        "middle_name": "QUOC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "N4167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CD520",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206121001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.