Individual provider Active NPI

John Tran, DPM

  • Podiatrist
  • Brownstown TWP, MI
National Provider Identifier
1215452065
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
T-1875 Issued in NM
Practice address
19723 Allen Rd
Brownstown TWP, MI 48183-1021
Phone
(734) 479-8383
Fax
(734) 479-8382
NPI assigned
Aug 12, 2017
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 T-1875 NM Primary

Addresses

Primary practice location

19723 Allen Rd
Brownstown TWP, MI 48183-1021

Mailing address

19723 Allen Rd
Brownstown TWP, MI 48183-1021
Phone (734) 479-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723000536 MI Practitioner - Podiatry 4082017439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicki Anton Anthens DPM PCGroup PAC ID 8921049800, 4 clinicians

Practice addresses (Care Compare)

19723 Allen Rd
Brownstown TWP, MI 48183-1021
Phone (734) 479-8383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.54 of 100Reported as group
Quality
78.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of skin lesions198
Removal of nail tissue559
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-1875NMMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Anton Anthens DPM PC Podiatrist CurrentSince Aug 1, 2021 Accepting new patients
James W Hill PastSince Jul 1, 2021 Accepting new patients

Locations

19723 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-8383

Interoperability endpoints

  • Direct secure messaging: jtran757459@direct.hfhs.org

Organizations & group practices 2

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 4

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": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1215452065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19723 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831021",
            "telephone_number": "734-479-8383",
            "fax_number": "734-479-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19723 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831021",
            "telephone_number": "734-479-8383",
            "fax_number": "734-479-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-12",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "T-1875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown TWP, MI

Sources for this page

Verify at the official NPI Registry.