Individual provider Active NPI

Ngoc-Phuong Thi Tran, D.O

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1215944087
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2845 Issued in TX
Practice address
1611 Ohlen Road
Austin, TX 78758
Phone
(512) 873-7173
Fax
(512) 835-9334
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H2845 TX Primary

Addresses

Primary practice location

1611 Ohlen Road
Austin, TX 78758

Mailing address

1611 Ohlen Road
Austin, TX 78758
Phone (512) 873-7173

Other identifiers 2

IdentifierTypeStateIssuer
114956901MedicaidTX
74-2464431OtherTXTAX ID

Other names 1

  • Dr. Liz Ngocphuong Thi Tran Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110218000714 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8426239708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1611 Ohlen Rd
Austin, TX 78758-7119
Phone (512) 873-7173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.Ngocphuongtran,DO, PA CurrentSince Feb 4, 2011 Accepting new patients

Locations

1611 Ohlen Rd
#A
Austin, TX 78758
Phone (512) 783-7173

1611 Ohlen Rd
Austin, TX 78758
Phone (512) 873-7173

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1215944087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 OHLEN ROAD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-873-7173",
            "fax_number": "512-835-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 OHLEN ROAD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-873-7173",
            "fax_number": "512-835-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NGOC-PHUONG",
        "middle_name": "THI",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114956901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "74-2464431",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ NGOCPHUONG",
            "last_name": "TRAN",
            "middle_name": "THI",
            "prefix": "DR.",
            "credential": "D.O., PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.