Individual provider Active NPI

Minhnga Tran, D.O.

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1295992576
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-1604-11 Issued in NM
Practice address
801 Encino PL NE
Ste C-1
Albuquerque, NM 87102-2612
Phone
(505) 272-1475
Fax
(505) 272-2360
NPI assigned
May 22, 2008
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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 A-1604-11 NM Primary

Addresses

Primary practice location

801 Encino PL NE
Ste C-1
Albuquerque, NM 87102-2612

Mailing address

481 Sandia Loop
Bernalillo, NM 87004-7076
Phone (505) 867-4696

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615001079 TX Practitioner - Family Practice 2264605229 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo of JemezGroup PAC ID 3971584509, 22 clinicians
Laguna Healthcare CorporationGroup PAC ID 2365855079, 5 clinicians

Practice addresses (Care Compare)

110 Sheep Springs
Jemez Pueblo, NM 87024
Phone (575) 834-7413

6 Basswood Rd
Paraje, NM 87007-1004
Phone (505) 552-5664

PO Box
Jemez Pueblo, NM 87024

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo of Jemez CurrentSince Jun 10, 2024 Accepting new patients
Laguna Healthcare Corporation CurrentSince Sep 15, 2025 Accepting new patients
Pueblo of Jemez CurrentSince Jun 10, 2024 Accepting new patients
Kewa Pueblo Health Corporation CurrentSince May 2, 2020 Accepting new patients
Pueblo of Sandia CurrentSince Mar 11, 2020 Accepting new patients
Laguna Healthcare Corporation Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
Kewa Pueblo Health Corporation Past Accepting new patients

Locations

481 Sandia Loop
Sandia Pueblo, NM 87004
Phone (505) 867-4696

85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060

Organizations & group practices 7

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 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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1295992576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 SANDIA LOOP",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870047076",
            "telephone_number": "505-867-4696",
            "fax_number": "505-771-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE",
            "address_2": "STE C-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022612",
            "telephone_number": "505-272-1475",
            "fax_number": "505-272-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MINHNGA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1604-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.