NPIMap

Individual provider Active NPI

Cao Thach Tran, MD

  • Clinical Cardiac Electrophysiology Physician
  • East Providence, RI
National Provider Identifier
1134433725
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD15959 Issued in RI
Practice address
950 Warren Ave Ste 201
East Providence, RI 02914-1432
Phone
(401) 606-1004
Fax
(401) 606-1153
NPI assigned
Aug 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD15959 RI Primary

Addresses

Primary practice location

950 Warren Ave Ste 201
East Providence, RI 02914-1432

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4513
Phone (401) 444-6779

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5891

Other practice location 2

208 Collyer St Ste 100
Providence, RI 02904-1560
Phone (401) 793-7191

Other practice location 3

1454 S County Trl
East Greenwich, RI 02818-1749
Phone (401) 606-1100

Other practice location 4

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018001376 RI Practitioner - Cardiovascular Disease (Cardiology) 1355580127 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians

Practice addresses (Care Compare)

593 Eddy St
Providence, RI 02903-4923
Phone (401) 793-9132

950 Warren Ave
FL 2
East Providence, RI 02914-1432
Phone (401) 606-1004

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital CurrentSince Sep 1, 2017 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2017 Accepting new patients
The Miriam Hospital Current Accepting new patients
Rhode Island Hospital Cardiovascular Disease CurrentSince Jan 7, 2023 Accepting new patients
The Miriam Hospital Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Rhode Island Hospital CurrentSince Jan 7, 2023 Accepting new patients
The Miriam Hospital Current Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

1454 S County Trl
East Greenwich, RI 02818
Phone (401) 606-1100

950 Warren Ave
Ste 201
East Providence, RI 02914
Phone (855) 332-8474

950 Warren Ave
Fl 2
East Providence, RI 02914

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191

593 Eddy St
#7
Providence, RI 02903
Phone (401) 444-3565

593 Eddy St
Providence, RI 02903

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Bldg 1ST
Providence, RI 02903

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 5

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": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1134433725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054513",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WARREN AVE STE 201",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141432",
            "telephone_number": "401-606-1004",
            "fax_number": "401-606-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-5891",
            "fax_number": "401-444-8158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Collyer St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029041560",
            "country_code": "US",
            "telephone_number": "401-793-7191",
            "fax_number": "401-228-0073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1454 S County Trl",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181749",
            "country_code": "US",
            "telephone_number": "401-606-1100",
            "fax_number": "401-606-1154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-793-4102",
            "fax_number": "401-793-4049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "CAO THACH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "RI",
            "license": "MD15959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.