Individual provider Active NPI

Tracy Tran, MD

  • Family Medicine Physician
  • Lee's Summit, MO
National Provider Identifier
1285898122
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-34991 Issued in KS
Practice address
4845 NW Canyon Rd
Lees Summit, MO 64064-2065
Phone
(805) 822-9612
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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 04-34991 KS Primary

Addresses

Primary practice location

4845 NW Canyon Rd
Lees Summit, MO 64064-2065

Mailing address

4845 NW Canyon Rd
Lees Summit, MO 64064-2065
Phone (805) 822-9612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130912000680 MO Practitioner - Family PracticePractitioner - Emergency Medicine 8921242934 Reassigns benefits to 2 organizations
I20140403001224 KS Practitioner - Family PracticePractitioner - Emergency Medicine 8921242934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pandc Healthcare LLCGroup PAC ID 3779861109, 38 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-34991KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Kansas PA Family Medicine CurrentSince Nov 3, 2014 Accepting new patients
Inpatient Consultants of Kansas PA Family Medicine CurrentSince Nov 3, 2014 Accepting new patients
Emergent Care Plus of Overland Park, LLC Family Medicine CurrentSince Nov 20, 2013 Accepting new patients
Inpatient Consultants of Kansas PA Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
P&C Healthcare LLC CurrentSince Sep 1, 2024 Accepting new patients
Kansas Hospitalist Services PA CurrentSince Jan 1, 2019 Accepting new patients
Western Missouri Medical Center Past Accepting new patients
P & C Consultant Services Past Accepting new patients
Centerpoint Medical Center of Independence, LLC Past Accepting new patients

Locations

1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945

10540 Marty St
Ste 100
Overland Park, KS 66212

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

Organizations & group practices 9

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 1

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1285898122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 NW CANYON RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642065",
            "telephone_number": "805-822-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 NW CANYON RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642065",
            "telephone_number": "805-822-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-34991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.