Individual provider Active NPI

Madeleine Vy Tran

  • Medical Physician Assistant
  • Falls Church, VA
National Provider Identifier
1154192599
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1192492 Issued in VA
Practice address
2946 Sleepy Hollow Rd Ste 3a
Falls Church, VA 22044-2003
Phone
(703) 241-8811
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1192492 VA Primary

Addresses

Primary practice location

2946 Sleepy Hollow Rd Ste 3a
Falls Church, VA 22044-2003

Mailing address

11004 Hames LN
Glen Allen, VA 23059-6019
Phone (804) 929-5894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425000016 DC Practitioner - Physician Assistant 2062852023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phamfirst ClinicGroup PAC ID 1951766039, 3 clinicians

Practice addresses (Care Compare)

107 Park PL
Falls Church, VA 22046-4513
Phone (703) 944-0390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1192492VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sang Van Tran, MD, PC PastSince Jan 21, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1154192599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11004 HAMES LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596019",
            "telephone_number": "804-929-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD STE 3A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-241-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MADELEINE",
        "middle_name": "VY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "1192492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.