Individual provider Active NPI

Lily Tran, M.D

  • Gastroenterology Physician
  • Leesburg, FL
National Provider Identifier
1366494874
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME93641 Issued in FL
Practice address
8110 County Road 44 Leg a
Leesburg, FL 34788-3704
Phone
(352) 323-8868
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME93641 FL Primary

Addresses

Primary practice location

8110 County Road 44 Leg a
Leesburg, FL 34788-3704

Mailing address

8110 County Road 44 Leg a
Leesburg, FL 34788-3704
Phone (352) 323-8868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050824000158 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 9537190160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13838 N US Hwy 441
Endosurg Outpatient Ctr
Lady Lake, FL 32159-8904
Phone (352) 753-1612

8110 County Rd
Leesburg, FL 34788-3704
Phone (352) 323-8868

8110 CR
44 Leg a
Leesburg, FL 34788-3704

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
68.91
Promoting interoperability
96
Improvement activities
40
Cost
76.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy542
Upper gastrointestinal (GI) endoscopy for acid reflux343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93641FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endosurg Outpatient Center LLC Current Accepting new patients
Lake Surgery & Endoscopy Center LTD CurrentSince Aug 23, 2012 Accepting new patients

Locations

13838 N US Highway 441
Lady Lake, FL 32159
Phone (352) 323-8868

13838 N US Highway 441
Ste 27
Lady Lake, FL 32159

8100 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-1995

8110 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-8868

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lily.tran.1@3063.direct.athenahealth.com

Organizations & group practices 3

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 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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1366494874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 COUNTY ROAD 44 LEG A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883704",
            "telephone_number": "352-323-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 COUNTY ROAD 44 LEG A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883704",
            "telephone_number": "352-323-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LILY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME93641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.