Individual provider Active NPI

Mai Thi Tran, MD

  • Pediatrics Physician
  • Grand Prairie, TX
National Provider Identifier
1275737868
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
BP1-0017510 Issued in TX
Practice address
2715 Osler Dr
Grand Prairie, TX 75051-1051
Phone
(972) 206-2940
Fax
(972) 602-7261
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP1-0017510 TX Primary

Addresses

Primary practice location

2715 Osler Dr
Grand Prairie, TX 75051-1051

Mailing address

2715 Osler Drive
Grand Prairie, TX 75051-1051
Phone (972) 206-2940

Other identifiers 2

IdentifierTypeStateIssuer
1275737868MedicaidTX
11417134255MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP1-0017510TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mai Tran MD PA Osler Pediatric Clinic Current Accepting new patients
Epifania M. Caturay, Mdpa Pediatrics Past Accepting new patients

Locations

2715 Osler Dr
Grand Prairie, TX 75051
Phone (469) 556-5527

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1275737868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 OSLER DRIVE",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511051",
            "telephone_number": "972-206-2940",
            "fax_number": "972-602-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 OSLER DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511051",
            "telephone_number": "972-206-2940",
            "fax_number": "972-602-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MAI",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP1-0017510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275737868",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11417134255",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.