Individual provider Active NPI

Phuongmai Tran, MD

  • Family Medicine Physician
  • Walker, LA
National Provider Identifier
1316525595
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
337689 Issued in LA
Practice address
5000 Odonavan Blvd Ste 404
Walker, LA 70785-6355
Phone
(225) 765-5500
Fax
(225) 369-8140
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 337689 LA Primary

Addresses

Primary practice location

5000 Odonavan Blvd Ste 404
Walker, LA 70785-6355

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5500

Other practice location 1

420 Avenue F
Bogalusa, LA 70427-3634
Phone (985) 732-0058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20231010002278 LA Practitioner - Family Practice 5597165332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid Urgent Care IncGroup PAC ID 0840437174, 35 clinicians

Practice addresses (Care Compare)

1111 N Causeway Blvd
Mandeville, LA 70471-3409
Phone (985) 249-5600

5000 Odonavan Blvd
Suite 404
Walker, LA 70785-6355
Phone (225) 369-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as group
Quality
80.15
Promoting interoperability
100
Improvement activities
40
Cost
76.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337689LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Urgent Care, Inc. Current Accepting new patients
Rapid Urgent Care, Inc Current Accepting new patients
Our Lady of the Lake Physician Group LLC Family Medicine Current Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Jul 15, 2024 Accepting new patients
Rapid Urgent Care, Inc CurrentSince Jun 30, 2023 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jul 15, 2024 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Jun 30, 2023 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

5000 Odonavan Blvd
Ste 404
Walker, LA 70785
Phone (225) 369-8100

Interoperability endpoints

  • Direct secure messaging: rapidurgentcare.phuongmaitran@157500.advancedmd-direct.com

Organizations & group practices 8

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1316525595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5500",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ODONAVAN BLVD STE 404",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707856355",
            "telephone_number": "225-765-5500",
            "fax_number": "225-369-8140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Avenue F",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273634",
            "country_code": "US",
            "telephone_number": "985-732-0058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHUONGMAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "337689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, LA

Sources for this page

Verify at the official NPI Registry.