NPIMap

Individual provider Active NPI

Hau Van Tran, DO

  • Family Medicine Physician
  • Platte, SD
National Provider Identifier
1164874368
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13667 Issued in SD
Practice address
601 E 7TH St
Platte, SD 57369-2123
Phone
(605) 337-1501
Fax
(605) 337-3360
NPI assigned
Jul 12, 2016
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13667 SD Primary
Internal Medicine Physician 207R00000X R10736 IA

Addresses

Primary practice location

601 E 7TH St
Platte, SD 57369-2123

Mailing address

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20220929000592 SD Practitioner - Family Practice 7012201023 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians
Platte Community Memorial Hospital IncGroup PAC ID 6507770054, shared by 5 NPIs, 8 clinicians

Practice addresses (Care Compare)

110 S Logan Ave
Suite a
Gregory, SD 57533-1614
Phone (605) 835-9611

405 Whittecar Ave
Gregory, SD 57533-1340
Phone (605) 835-9611

601 E 7TH St
Platte, SD 57369-2123
Phone (605) 337-3364

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R10736IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Nov 1, 2022 Accepting new patients
Platte Community Memorial Hospital Inc Current Accepting new patients
Avera McKennan Current Accepting new patients
Platte Community Memorial Hospital Inc Current Accepting new patients
Avera McKennan Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Platte Community Memorial Hospital Inc. CurrentSince Aug 1, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Platte Community Memorial Hospital, Inc. Family Medicine PastSince Aug 1, 2021 Accepting new patients
Platte Community Memorial Hospital Inc Past Accepting new patients

Locations

601 E 7th St
Platte, SD 57369
Phone (605) 337-2633

601 E 7th St
Ste 3
Platte, SD 57369
Phone (605) 337-2633

306 S Johnston St
White Lake, SD 57383
Phone (605) 337-1529

Interoperability endpoints

  • Direct secure messaging: hau.tran@avera.sdhealthlink.net

Organizations & group practices 9

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1164874368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "660-785-1000",
            "fax_number": "660-785-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 7TH ST",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573692123",
            "telephone_number": "605-337-1501",
            "fax_number": "605-337-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HAU",
        "middle_name": "VAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "13667",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R10736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte, SD

Sources for this page

Verify at the official NPI Registry.