Individual provider Active NPI

Andy T Tran, MD

  • Clinical Cardiac Electrophysiology Physician
  • Surprise, AZ
National Provider Identifier
1295781029
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35253 Issued in AZ
Practice address
12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone
(602) 641-9486
Fax
(480) 500-8430
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35253 AZ
Clinical Cardiac Electrophysiology Physician 207RC0001X 35253 AZ Primary

Addresses

Primary practice location

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021

Mailing address

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone (602) 641-9486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060626000130 AZ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6305815622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Cardiovascular Associates LLCGroup PAC ID 7315362969, 16 clinicians

Practice addresses (Care Compare)

12361 W Bola Dr
Suite 100
Surprise, AZ 85378-9021
Phone (602) 641-9486

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.02 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Cardiovascular Associates, LLC Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
Peak Cardiovascular Center LLC CurrentSince Feb 26, 2024 Accepting new patients
VHS of Phoenix Inc Cardiovascular Disease Past Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc Cardiovascular Disease Past Accepting new patients
VHS of Arrowhead Inc Cardiovascular Disease Past Accepting new patients

Locations

10825 W McDowell Rd
Ste 310
Avondale, AZ 85392
Phone (602) 698-7325

10825 W McDowell Rd
Ste 320
Avondale, AZ 85392
Phone (602) 698-7325

203 S Candy Ln
Ste 4A
Cottonwood, AZ 86326
Phone (928) 649-1389

1501 S Yale St
Ste 152
Flagstaff, AZ 86001
Phone (254) 747-5243

1501 S Yale St
Ste 150
Flagstaff, AZ 86001
Phone (928) 527-4325

1340 N Rim Dr
Flagstaff, AZ 86001
Phone (928) 774-1873

20325 N 51st Ave
Ste 126
Glendale, AZ 85308
Phone (602) 341-5248

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

2010 Injo Dr
Lk Havasu Cty, AZ 86403
Phone (623) 227-1000

20565 N 19th Ave
Phoenix, AZ 85027
Phone 61064489002831

1277 E Missouri Ave
Ste 208
Phoenix, AZ 85014
Phone (602) 266-3430

13640 N 99th Ave
Ste 400
Sun City, AZ 85351
Phone (480) 430-6602

12361 W Bola Dr
Ste 109
Surprise, AZ 85378
Phone (623) 227-1000

12361 W Bola Dr
Ste 100
Surprise, AZ 85378
Phone (602) 698-7325

12361 W Bola Dr
Ste 112
Surprise, AZ 85378
Phone (602) 698-7325

14973 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 815-2900

Interoperability endpoints

  • Direct secure messaging: andytran@cvc.allscriptsdirect.net

Organizations & group practices 5

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.

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1295781029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "602-641-9486",
            "fax_number": "480-500-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "602-641-9486",
            "fax_number": "480-500-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANDY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "35253",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "35253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.