Individual provider Active NPI

Phuong - Thi Ngoc Tran, D.O.

  • Family Medicine Physician
  • The Villages, FL
National Provider Identifier
1164422267
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9107 Issued in FL
Practice address
779 Kristine Way
The Villages, FL 32163-0099
Phone
(844) 884-9355
Fax
(352) 674-6030
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9107 FL Primary

Addresses

Primary practice location

779 Kristine Way
The Villages, FL 32163-0099

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040928000181 FL Practitioner - Family Practice 2264401215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Practice addresses (Care Compare)

779 Kristine Way
The Villages, FL 32163-0099
Phone (844) 884-9355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Vitality Inc Family Medicine CurrentSince Nov 7, 2025 Accepting new patients
The Villages Health System LLC CurrentSince Jul 8, 2024 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Family Medicine CurrentSince Nov 7, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Family Medicine Current Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine PastSince May 8, 2022 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1020 Lake Sumter Lndg
The Villages, FL 32162

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

779 Kristine Way
The Villages, FL 32163
Phone (352) 674-1700

Interoperability endpoints

  • Direct secure messaging: phuong-thi.tran.1@18324.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1164422267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 KRISTINE WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321630099",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHUONG - THI",
        "middle_name": "NGOC",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.