Individual provider Active NPI

Khoa Dang Tran, MD

  • Psychiatry Physician
  • Roanoke, VA
National Provider Identifier
1346458908
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101266968 Issued in VA
Practice address
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone
(540) 981-8025
Fax
(540) 853-0511
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101266968 VA Primary
Psychiatry Physician 2084P0800X MD227629 OR

Addresses

Primary practice location

2017 Jefferson St SW
Roanoke, VA 24014-2419

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

4114 Veritas St
Charleston, SC 29414-6096
Phone (504) 339-3747

Other practice location 2

1225 NE 2nd Ave
Portland, OR 97232-2003
Phone (503) 944-8000

Other practice location 3

1440 Canal St # 52
New Orleans, LA 70112-2703
Phone (504) 988-4272

Other identifiers 2

IdentifierTypeStateIssuer
1427013986OtherNPI
1048224MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktran117353@direct.carilionclinic.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, OR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150702000633 NC Practitioner - Psychiatry 8628977675 Reassigns benefits to 2 organizations
I20160127002348 SC Practitioner - Psychiatry 8628977675 Reassigns benefits to 2 organizations
I20251125004954 OR Practitioner - Psychiatry 8628977675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians

Practice addresses (Care Compare)

2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-6393

2301 Medpark Dr
Rocky Mount, NC 27804-2288
Phone (252) 962-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
62.03
Promoting interoperability
99
Improvement activities
40
Cost
78.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD227629ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Legacy Emanuel Hospital & Health Center Psychiatry CurrentSince Nov 12, 2025 Accepting new patients
NHCS Physicians Inc Psychiatry CurrentSince Jul 1, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Sep 19, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 12, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Psychiatry CurrentSince Sep 19, 2025 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Nov 4, 2015 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Nash Hospitals Inc Past Accepting new patients

Locations

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

2301 Medpark Dr
Rocky Mount, NC 27804
Phone (252) 443-9500

2301 Medpark Dr
Ste B
Rocky Mount, NC 27804
Phone (252) 962-5000

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1135 Gregg Hwy NW
Aiken, SC 29801
Phone (803) 641-7700

Interoperability endpoints

  • Direct secure messaging: ktran117353@direct.carilionclinic.org

Organizations & group practices 12

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 5

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1346458908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 JEFFERSON ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-981-8025",
            "fax_number": "540-853-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4114 Veritas St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294146096",
            "country_code": "US",
            "telephone_number": "504-339-3747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322003",
            "country_code": "US",
            "telephone_number": "503-944-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 Canal St # 52",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122703",
            "country_code": "US",
            "telephone_number": "504-988-4272",
            "fax_number": "504-988-4794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KHOA",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101266968",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD227629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427013986",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1048224",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktran117353@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ktran117353@direct.carilionclinic.org",
            "address_1": "2017 Jefferson St SW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240142419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.