Active NPI
Tram Nguyen Schroeder, M.D.
- Diagnostic Radiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01076583A
- Practice address
- 3707 New Vision Dr
Fort Wayne, IN 46845-1702 - Phone
- (260) 471-9466
- NPI assigned
- Jun 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 11017583A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 01076583A | IN | Primary |
Addresses
Primary practice location
3707 New Vision Dr
Fort Wayne, IN 46845-1702
Mailing address
550 University Blvd
Room 0641
Indianapolis, IN 46202-5149
Phone (317) 948-2449
Other practice location 1
550 University Blvd
Room 0641
Indianapolis, IN 46202-5149
Phone (317) 948-2449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OK, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Hospital & facility affiliations
- Yuma Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017583A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Single Specialty | Current | Accepting new patients |
| Yuma Regional Medical Center | Single Specialty | Current | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Single Specialty | Current | Accepting new patients |
| Oklahoma Radiology Group P C | Single Specialty | Current | Accepting new patients |
Locations
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
5924 Reliable Pkwy
Chicago, IL 60686
550 University Blvd
Rm 641
Indianapolis, IN 46202
Phone (317) 948-2444
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Single Specialty
-
- Diagnostic Radiology Physician
- Oklahoma City, OK
- NPI 1841283165
Single Specialty
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1790748499
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1063475861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1417394271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD",
"address_2": "ROOM 0641",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-948-2449",
"fax_number": "317-948-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451702",
"telephone_number": "260-471-9466"
}
],
"practiceLocations": [
{
"address_1": "550 University Blvd",
"address_2": "Room 0641",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025149",
"country_code": "US",
"telephone_number": "317-948-2449",
"fax_number": "317-948-2803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHROEDER",
"first_name": "TRAM",
"middle_name": "NGUYEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-03",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "11017583A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01076583A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.