Individual provider Active NPI

Anmy Nguyen Tran, DPM

  • Podiatrist
  • Detroit, MI
National Provider Identifier
1184654188
Registry record updated Jul 20, 2021
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
AT001910 Issued in MI
Practice address
10244 W 7 Mile Rd
Detroit, MI 48221-1904
Phone
(586) 623-9978
Fax
(313) 862-2865
NPI assigned
Jul 4, 2006
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X AT001910 MI Primary

Addresses

Primary practice location

10244 W 7 Mile Rd
Detroit, MI 48221-1904

Mailing address

42621 Garfield Rd
Clinton TWP, MI 48038-5031
Phone (586) 228-6688

Other practice location 1

42621 Garfield Rd
Clinton Twp, MI 48038-5031
Phone (586) 228-6688

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
AT001910MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tran- Lee Foot & Ankle Specialty Center, PC PastSince Mar 12, 2002 Accepting new patients
Charles Johnson DPM PastSince Jul 25, 2021 Accepting new patients
Charles M Johnson Podiatrist PC PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1184654188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42621 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385031",
            "telephone_number": "586-228-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10244 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211904",
            "telephone_number": "586-623-9978",
            "fax_number": "313-862-2865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42621 Garfield Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480385031",
            "country_code": "US",
            "telephone_number": "586-228-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANMY",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "AT001910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.