Individual provider Active NPI

Daniel Duy Tran, M.D.

  • Otolaryngology Physician
  • Fort Hood, TX
National Provider Identifier
1215173539
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
16612 Issued in HI
Practice address
36065 Santa Fe Ave
Fort Hood, TX 76544-5060
Phone
(254) 288-8490
NPI assigned
Dec 17, 2008
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 16612 HI Primary

Addresses

Primary practice location

36065 Santa Fe Ave
Fort Hood, TX 76544-5060

Mailing address

109 Lake Cavern CT
Georgetown, TX 78633-2132
Phone (808) 485-9242

Other practice location 1

1 Jarrett White Road
Tripler Army Medical Center
Tripler AMC, HI 96859-5001
Phone (808) 433-3169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220725002721 NY Practitioner - Otolaryngology 7618358441 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16612HIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vito C. Quatela, MD PLLC CurrentSince Jul 1, 2022 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jan 23, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 16, 2023 Accepting new patients
Guthrie Medical Group, P.C. General Practice CurrentSince Oct 16, 2023 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jan 23, 2024 Accepting new patients

Locations

6119 US Highway 11
Canton, NY 13617
Phone (315) 261-5810

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

3 Guthrie Dr
Corning, NY 14830
Phone (607) 973-8000

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

973 East Ave
Rochester, NY 14607
Phone (585) 244-1000

973 East Ave
#100
Rochester, NY 14607
Phone (585) 244-1000

Interoperability endpoints

  • Direct secure messaging: dtran188479@direct-guthrie.org

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, 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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1215173539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAKE CAVERN CT",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332132",
            "telephone_number": "808-485-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-288-8490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Road",
            "address_2": "Tripler Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Tripler AMC",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DANIEL",
        "middle_name": "DUY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "HI",
            "license": "16612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.