The Kim Tran, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12448 Issued in TX

Practice address

4335 Windsor Centre TRL Ste 110
Flower Mound, TX 75028-1983

Phone

(469) 635-5990

NPI assigned

May 16, 2019

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Mansfield Dermatology, PLLCGroup PAC ID 2769545458, 10 clinicians

United Dermatology Associates of Flower Mound PLLCGroup PAC ID 4082838610, 4 clinicians

United Dermatology Associates of Arlington, PLLCGroup PAC ID 3476954561, 7 clinicians

United Dermatology Associates of Burleson, PLLCGroup PAC ID 8628294220, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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.

• Mansfield Dermatology, PLLC

  • Dermatology Physician
  • Mansfield, TX
  • NPI 1598913253
  Medicare reassignment Care Compare group
• United Dermatology Associates of Arlington, PLLC

  dba United Dermatology Associates, PLLC

  • Dermatology Physician
  • Arlington, TX
  • NPI 1386228930
  Medicare reassignment Care Compare group
• United Dermatology Associates of Burleson, PLLC

  dba Jeannine Hoang, MD

  • Dermatology Physician
  • Burleson, TX
  • NPI 1457778474
  Medicare reassignment Care Compare group
• United Dermatology Associates of Flower Mound, PLLC

  • Dermatology Physician
  • Flower Mound, TX
  • NPI 1649602954
  Medicare reassignment Care Compare group
• United Dermatology Associates of Euless PLLC

  dba Uda

  • Dermatology Physician
  • Euless, TX
  • NPI 1528829025
  Medicare reassignment

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1275199002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 WINDSOR CENTRE TRL STE 110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281983",
            "telephone_number": "469-635-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 WINDSOR CENTRE TRL STE 110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281983",
            "telephone_number": "469-635-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THE",
        "middle_name": "KIM",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town of Flower Mound
• Towne View Dental Care
• Jessica Townsend, PA-C
• Brandon Nicholas Trabosh
• Minhhuy Luong Tran, PHARM D
• Samuel Tredemeyer, DO
• Tresses of Care Inc (Tresses of Care)
• Omery X. Trevino, DC
• Victoria Trevino
• Antoine Trinh

• Physician Assistant in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.

Verify at the official NPI Registry.