Individual provider Active NPI

An Quoc Tran, DPM

  • Podiatrist
  • Carmel, IN
National Provider Identifier
1407213903
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07001235A Issued in IN
Practice address
13295 Illinois St
Suite 104
Carmel, IN 46032-3019
Phone
(317) 218-4095
Fax
(877) 476-7125
NPI assigned
Jan 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO 3787 FL
Podiatrist 213E00000X 07001235A IN Primary

Addresses

Primary practice location

13295 Illinois St
Suite 104
Carmel, IN 46032-3019

Mailing address

3920 N 56TH Ave Apt 107
Hollywood, FL 33021-1642
Phone (954) 218-6616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615000093 IN Practitioner - Podiatry 6709177199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

201 N Illinois St
FL 16
Indianapolis, IN 46204-1904
Phone (888) 964-6681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue2974
Removal or shaving of skin growth267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3787FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Podiatry, LLC Podiatrist CurrentSince Jun 10, 2016 Accepting new patients
Central Indiana Vascular Care, LLC. CurrentSince Sep 1, 2024 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jul 14, 2024 Accepting new patients
Michael S. Miller DO, Facos, CWS, PC CurrentSince Aug 15, 2019 Accepting new patients

Locations

13295 Illinois St
Ste 104
Carmel, IN 46032
Phone (317) 218-4095

3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061

9011 N Meridian St
Ste 204
Indianapolis, IN 46260
Phone (317) 218-4095

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1407213903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 N 56TH AVE APT 107",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211642",
            "telephone_number": "954-218-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13295 ILLINOIS ST",
            "address_2": "SUITE 104",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323019",
            "telephone_number": "317-218-4095",
            "fax_number": "877-476-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "AN",
        "middle_name": "QUOC",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO 3787",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001235A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.