Individual provider Active NPI

Tran Bao Swanholm, MD

  • Family Medicine Physician
  • Duluth, MN
National Provider Identifier
1174258586
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
74906 Issued in MN
Practice address
1001 E Central Entrance Ste 200
Duluth, MN 55811-5525
Phone
(218) 722-0833
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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 74906 MN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1001 E Central Entrance Ste 200
Duluth, MN 55811-5525

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 1

233 Grand Ave
Saint Paul, MN 55102-2331
Phone (651) 241-1001

Other practice location 2

7373 France Ave S Ste 208
Edina, MN 55435-4598
Phone (952) 835-1311

Other names 1

  • Cindy Swanholm Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tran.swanholm@allina.com Direct
Direct Messaging Address tswanholm553200@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240327001932 MN Practitioner - Family Practice 8527405489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians

Practice addresses (Care Compare)

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

Hospital & facility affiliations

  • Grand Itasca Clinic and Hospital Hospital, Grand Rapids, MN, CCN 240064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74906MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Itasca Clinic and Hospital CurrentSince Jul 1, 2025 Accepting new patients
Allina Health System CurrentSince May 1, 2024 Accepting new patients
Allina Health System CurrentSince May 1, 2024 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jul 1, 2025 Accepting new patients
Allina Health System Family Medicine Current Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

7373 France Ave S
Ste 208
Minneapolis, MN 55435
Phone (952) 835-1311

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141

233 Grand Ave
Saint Paul, MN 55102
Phone (651) 241-1001

Interoperability endpoints

  • Direct secure messaging: tswanholm553200@excellian.direct.allina.com
  • Direct secure messaging: tswanholm409902@fairview.direct-ci.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1174258586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E CENTRAL ENTRANCE STE 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115525",
            "telephone_number": "218-722-0833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022331",
            "country_code": "US",
            "telephone_number": "651-241-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7373 France Ave S Ste 208",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354598",
            "country_code": "US",
            "telephone_number": "952-835-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANHOLM",
        "first_name": "TRAN",
        "middle_name": "BAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "74906",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tran.swanholm@allina.com",
            "affiliation": "N",
            "endpointDescription": "Work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "233 Grand Ave",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551022331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tswanholm553200@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "7373 France Ave S Ste 208",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554354598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "SWANHOLM",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.