NPIMap

Individual provider Active NPI

Hoang Simon Tran, M.D.

  • Vascular Surgery Physician
  • Newburgh, IN
National Provider Identifier
1346287380
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
01063016A Issued in IN
Practice address
4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-8925
Phone
(812) 842-0907
Fax
(812) 464-0536
NPI assigned
May 31, 2006
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01063016A IN
Vascular Surgery Physician 2086S0129X 01063016A IN Primary

Addresses

Primary practice location

4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-8925

Mailing address

PO Box 1230
Evansville, IN 47706-1230
Phone (812) 842-0907

Other identifiers 1

IdentifierTypeStateIssuer
200857730AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070416000410 IN Practitioner - Vascular Surgery 9638147705 Reassigns benefits to 2 organizations
I20090408000241 KY Practitioner - Vascular SurgeryPractitioner - Peripheral Vascular Disease 9638147705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Peripheral Vascular Disease
Education
Loyola University of Chicago, Stritch School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (812) 464-9133

4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Phone (812) 450-7899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
69.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063016AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Vascular Surgery CurrentSince Jun 1, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Vascular Surgery Current Accepting new patients
St. Mary's Health, Inc Surgery CurrentSince Nov 13, 2011 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Jun 1, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Vascular Surgery CurrentSince Jun 1, 2018 Accepting new patients
St. Mary's Health, Inc CurrentSince Nov 13, 2011 Accepting new patients
Surgical & Endovascular Specialist PastSince Jul 1, 2006 Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

520 Mary St
Ste 230
Evansville, IN 47710
Phone (812) 450-8600

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

1138 N Elm St
Henderson, KY 42420
Phone (270) 827-8811

1300 Merritt Dr
#110
Henderson, KY 42420
Phone (270) 827-8811

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Interoperability endpoints

  • Direct secure messaging: htran31954@direct.deaconess.com

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 7

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1346287380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "telephone_number": "812-842-0907",
            "fax_number": "812-492-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 GATEWAY BLVD",
            "address_2": "SUITE 2120",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308925",
            "telephone_number": "812-842-0907",
            "fax_number": "812-464-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HOANG",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01063016A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01063016A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200857730A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.