Active NPI
Minh Q Tran, M.D.
- Pediatric Critical Care Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 301810
- Practice address
- 2510 Bert Koun Loop
Room 4003
Shreveport, LA 71118-3119 - Phone
- (318) 212-5665
- Fax
- (318) 212-5698
- NPI assigned
- Sep 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 301810 | LA | Primary |
Addresses
Primary practice location
2510 Bert Koun Loop
Room 4003
Shreveport, LA 71118-3119
Mailing address
2510 Bert Koun Loop
Room 4003
Shreveport, LA 71118-3119
Phone (318) 212-5665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2422481 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200915001241 | LA | Practitioner - Pediatric Medicine | 0446409841 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Pediatric Intensivist | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Willis Knighton Medical Center, Inc. | Past | Accepting new patients |
Locations
1203 S Tyler St
Covington, LA 70433
Phone (985) 875-2234
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
3100 Samford Ave
Shreveport, LA 71103
Phone (318) 222-5704
2508 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5880
2510 Bert Kouns Industrial Loop
Rm 4003
Shreveport, LA 71118
Phone (318) 212-5665
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
Interoperability endpoints
- mtran@direct.wkhs.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.
-
- Pediatric Critical Care Medicine Physician
- Shreveport, LA
- NPI 1023074549
LA, Pediatric Critical Care Medicine
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- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Denham Springs, LA
- NPI 1841499886
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1194059386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 BERT KOUN LOOP",
"address_2": "ROOM 4003",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183119",
"telephone_number": "318-212-5665",
"fax_number": "318-212-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 BERT KOUN LOOP",
"address_2": "ROOM 4003",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183119",
"telephone_number": "318-212-5665",
"fax_number": "318-212-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MINH",
"middle_name": "Q",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-22",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "LA",
"license": "301810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2422481",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mettles.com/",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.6037.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10320 Little Patuxent Pkwy Ste 233-02",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.