Individual provider Active NPI

Mai Kim Tran, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1154602589
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N9320 Issued in TX
Practice address
12600 Scarsdale Blvd
Suite a
Houston, TX 77089-6270
Phone
(281) 481-6663
Fax
(281) 481-6369
NPI assigned
Aug 30, 2011
Last updated
Apr 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N9320 TX Primary

Addresses

Primary practice location

12600 Scarsdale Blvd
Suite a
Houston, TX 77089-6270

Mailing address

12600 Scarsdale Blvd
Suite a
Houston, TX 77089-6270
Phone (281) 481-6663

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
I20120202000902 TX Practitioner - Internal Medicine 6608033642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12600 Scarsdale Blvd
Suite a
Houston, TX 77089-6271
Phone (281) 481-6663

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9320TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MTL MD PLLC Internal Medicine CurrentSince Mar 22, 2014 Accepting new patients
Kdunn and Associates, P.a. Past Accepting new patients

Locations

12600 Scarsdale Blvd
Ste A
Houston, TX 77089
Phone (281) 481-6663

Interoperability endpoints

  • Direct secure messaging: mai.tran@tlcpllc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1154602589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 SCARSDALE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896270",
            "telephone_number": "281-481-6663",
            "fax_number": "281-481-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SCARSDALE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896270",
            "telephone_number": "281-481-6663",
            "fax_number": "281-481-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MAI",
        "middle_name": "KIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.