Individual provider Active NPI

An L Tran, M.D.

  • Hematology & Oncology Physician
  • Cleveland, TN
National Provider Identifier
1366637563
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
48335 Issued in TN
Practice address
2390 N. Ocoee St.
Cleveland, TN 37311
Phone
(423) 339-0300
Fax
(423) 709-0543
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 48335 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X MT189067 PA

Addresses

Primary practice location

2390 N. Ocoee St.
Cleveland, TN 37311

Mailing address

605 Glenwood Drive
Suite 200
Chattanooga, TN 37404-1130
Phone (423) 698-1844

Other identifiers 2

IdentifierTypeStateIssuer
1528999MedicaidTN
003130708AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120725000694 TN Practitioner - Hematology/Oncology 3870771272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York Downstate Medical Center, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1032 McCallie Ave
Suite 200
Chattanooga, TN 37403-2836
Phone (423) 708-6495

1750 Cedar LN
Suite 200
Tullahoma, TN 37388-4761
Phone (615) 333-2481

2200 E 3Rd St
Suite 100
Chattanooga, TN 37404-2744
Phone (423) 648-2388

315 N Washington Ave
Suite 230
Cookeville, TN 38501-2660
Phone (931) 400-0995

605 Glenwood Dr
Suite 200
Chattanooga, TN 37404-1130
Phone (423) 698-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT189067PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Hematology & Oncology CurrentSince Jan 1, 2013 Accepting new patients
Tennessee Oncology PLLC Hematology & Oncology CurrentSince Jan 1, 2013 Accepting new patients

Locations

4700 Battlefield Pkwy
Ste 230
Ringgold, GA 30736
Phone (423) 698-1844

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

2390 N Ocoee St
Cleveland, TN 37311
Phone (423) 339-0300

4488 Carothers Pkwy
Ste 310
Franklin, TN 37067
Phone (615) 986-4330

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 2

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1366637563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DRIVE",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041130",
            "telephone_number": "423-698-1844",
            "fax_number": "423-624-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 N. OCOEE ST.",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-339-0300",
            "fax_number": "423-709-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "AN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "48335",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT189067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528999",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003130708A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.