Individual provider Active NPI

Andrew Tran, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1265085120
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT219086 Issued in PA
Practice address
245 N 15TH St # Ms 427
Philadelphia, PA 19102-1198
Phone
(215) 762-7916
NPI assigned
Jul 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT219086 PA Primary

Addresses

Primary practice location

245 N 15TH St # Ms 427
Philadelphia, PA 19102-1198

Mailing address

245 N 15TH St # Ms 427
Philadelphia, PA 19102-1198
Phone (215) 762-7916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220817001406 NJ Practitioner - Internal Medicine 7618206731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Acute Care Specialists Professional CorporationGroup PAC ID 3678742269, 55 clinicians

Practice addresses (Care Compare)

901 W Main St
Freehold, NJ 07728-2537
Phone (973) 831-5000

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as individual
Quality
62.57
Improvement activities
40
Cost
70.1

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Acute Care Specialists Professional Corporation Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Hahnemann University Hospital PastSince Jul 25, 2019 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

Interoperability endpoints

  • Direct secure messaging: atran462419@direct.ahsys.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 and National Provider Directory roles.

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1265085120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST # MS 427",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021198",
            "telephone_number": "215-762-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST # MS 427",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021198",
            "telephone_number": "215-762-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT219086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.