Individual provider Active NPI

Tam Truong

  • Nurse Practitioner
  • Troy, MI
National Provider Identifier
1396418372
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704320125 Issued in MI
Practice address
4600 Investment Dr Ste 200
Troy, MI 48098-6375
Phone
(248) 267-5050
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704320125 MI Primary

Addresses

Primary practice location

4600 Investment Dr Ste 200
Troy, MI 48098-6375

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-4352

Other practice location 1

75 Barclay Cir Ste 230
Rochester Hills, MI 48307-5823
Phone (248) 289-1111

Other practice location 2

15959 Hall Rd Ste 304
Macomb, MI 48044-5367
Phone (248) 267-5050

Other practice location 3

4550 Investment Dr Ste 250
Troy, MI 48098-6362
Phone (248) 267-5050

Other practice location 4

39500 W 10 Mile Rd Ste 103
Novi, MI 48375-2947
Phone (248) 267-5050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ttruong1259483@epic00.shdirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921002093 MI Practitioner - Nurse Practitioner 9739586504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

28100 Grand River Ave
Farmington Hills, MI 48336-5970

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535

4600 Investment Dr
Suite 200
Troy, MI 48098-6375
Phone (248) 267-5050

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Merit-based Incentive Payment System (MIPS)

Final score
83.45 of 100Reported as group
Quality
81.22
Promoting interoperability
100
Improvement activities
40
Cost
63.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704320125MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Oct 28, 2024 Accepting new patients
Heart and Vascular Care, P.C. CurrentSince Sep 1, 2021 Accepting new patients
William Beaumont Hospital Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

4771 Michigan Ave
Detroit, MI 48210
Phone (313) 897-2600

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

75 Barclay Cir
Ste 230
Rochester Hills, MI 48307
Phone (248) 246-1127

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

4600 Investment Dr
Ste 200
Troy, MI 48098
Phone (248) 267-5050

4550 Investment Dr
Ste 250
Troy, MI 48098
Phone (248) 267-5050

Interoperability endpoints

  • Direct secure messaging: ttruong1156004@direct.hfhs.org

Organizations & group practices 4

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 3

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1396418372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986375",
            "telephone_number": "248-267-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Barclay Cir Ste 230",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483075823",
            "country_code": "US",
            "telephone_number": "248-289-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15959 Hall Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480445367",
            "country_code": "US",
            "telephone_number": "248-267-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4550 Investment Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480986362",
            "country_code": "US",
            "telephone_number": "248-267-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39500 W 10 Mile Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483752947",
            "country_code": "US",
            "telephone_number": "248-267-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "TAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704320125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttruong1259483@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "4600 Investment Dr Ste 200",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480986375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.