Organization Active NPI

Tran Medical Practice PLLC

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1124375365
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
222275NY Issued in NY
Legal business name
TRAN MEDICAL PRACTICE PLLC
Practice address
1770 Long Pond Rd
Suite 201
Rochester, NY 14606-4057
Phone
(585) 247-8460
Fax
(585) 247-8462
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Vu Tran, MDNPI 1457392482
Title
Sole MBR
Phone
(585) 247-8460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 222275NY NY Primary

Addresses

Primary practice location

1770 Long Pond Rd
Suite 201
Rochester, NY 14606-4057

Mailing address

1770 Long Pond Rd
Suite 201
Rochester, NY 14606-4057
Phone (585) 247-8460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120906000468 NY Part B Supplier - Clinic/Group Practice 0345497822 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

95 Canal Landing Blvd
Ste 6
Rochester, NY 14626
Phone (585) 247-8460

1770 Long Pond Rd
Ste 201
Rochester, NY 14606
Phone (585) 234-6855

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1124375365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 LONG POND RD",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064057",
            "telephone_number": "585-247-8460",
            "fax_number": "585-247-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 LONG POND RD",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064057",
            "telephone_number": "585-247-8460",
            "fax_number": "585-247-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "VU",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "585-247-8460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222275NY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.