Individual provider Active NPI

Trang M Tran, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1265683379
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047056 Issued in CT
Practice address
3515 Agua Sarca CT NE
Albuquerque, NM 87111-5266
Phone
(816) 550-8693
NPI assigned
Oct 7, 2008
Last updated
Apr 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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 047056 CT Primary

Addresses

Primary practice location

3515 Agua Sarca CT NE
Albuquerque, NM 87111-5266

Mailing address

3515 Agua Sarca CT NE
Albuquerque, NM 87111-5266
Phone (816) 550-8693

Other identifiers 2

IdentifierTypeStateIssuer
MD2008-0787OtherNMNEW MEXICO LICENSE
047056OtherCTCONNECTICUT LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20090522000462 NM Practitioner - Family Practice 4183773047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10820 Comanche Rd NE
Suite C
Albuquerque, NM 87111-3983
Phone (505) 839-6825

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047056CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The 5TH Element Medical Practice PC Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Abquick Care PC CurrentSince Apr 14, 2024 Accepting new patients
Jeffrey S Sollins MD PC PastSince Jan 30, 2012 Accepting new patients

Locations

10820 Comanche Rd NE
Ste C
Albuquerque, NM 87111
Phone (505) 839-6825

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, 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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1265683379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 AGUA SARCA CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115266",
            "telephone_number": "816-550-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 AGUA SARCA CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115266",
            "telephone_number": "816-550-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TRANG",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "047056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO LICENSE",
            "identifier": "MD2008-0787",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE NUMBER",
            "identifier": "047056",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.