Active NPI
Khiem Tran, MD
- Dermatology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD61545383
- Practice address
- 10416 5TH Ave NE
Seattle, WA 98125-7402 - Phone
- (206) 517-6700
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD61545383 | WA | Primary |
Addresses
Primary practice location
10416 5TH Ave NE
Seattle, WA 98125-7402
Mailing address
5135 N Via Condesa
Tucson, AZ 85718-5713
Phone (415) 887-8352
Other practice location 1
University of Arkansas for Medical Sciences
4301 West Markham, Slot 634
Little Rock, AR 72205
Phone (501) 686-5162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Arizona College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10416 5TH Ave NE
Seattle, WA 98125-7402
Phone (206) 517-6700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 188 |
| Removal or shaving of skin growth | 42 |
| Skin biopsy | 112 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients |
Locations
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
1801 Lind Ave SW
Bldg D
Renton, WA 98057
Phone (425) 227-3700
601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
10416 5th Ave NE
Seattle, WA 98125
Phone (206) 517-6667
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1013061217
-
- Multi-Specialty Clinic/Center
- Lynnwood, WA
- NPI 1477594356
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1215566690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5135 N VIA CONDESA",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185713",
"telephone_number": "415-887-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10416 5TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981257402",
"telephone_number": "206-517-6700"
}
],
"practiceLocations": [
{
"address_1": "University of Arkansas for Medical Sciences",
"address_2": "4301 West Markham, Slot 634",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "72205",
"country_code": "US",
"telephone_number": "501-686-5162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "KHIEM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-07",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD61545383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.