Individual provider Active NPI

Vanessa Tran, MPA

  • Medical Physician Assistant
  • Bryans Road, MD
National Provider Identifier
1164028528
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110008091 Issued in VA
Practice address
8030 Matthews Rd Ste 105
Bryans Road, MD 20616-4266
Phone
(301) 375-8080
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 0110008091 VA Primary

Addresses

Primary practice location

8030 Matthews Rd Ste 105
Bryans Road, MD 20616-4266

Mailing address

8030 Matthews Rd Ste 105
Bryans Road, MD 20616-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230323001425 VA Practitioner - Physician Assistant 5496129942 Reassigns benefits to 1 organization
I20230330002165 DC Practitioner - Physician Assistant 5496129942 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1851 N George Mason Dr
Ste 3C
Arlington, VA 22207
Phone (703) 717-7780

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1850 Town Center Pkwy
Ste 566
Reston, VA 20190

Interoperability endpoints

  • Direct secure messaging: vanessa.tran.p1@direct.chv.nextgenshare.com

Organizations & group practices 4

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1164028528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 MATTHEWS RD STE 105",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206164266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 MATTHEWS RD STE 105",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206164266",
            "telephone_number": "301-375-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VANESSA",
        "credential": "MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110008091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryans Road, MD

Sources for this page

Verify at the official NPI Registry.