Active NPI
Channhu Trinh, MD
- Family Medicine Physician
- Beavercreek, OH
National Provider Identifier
1427032952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35087874
- Practice address
- 3371 Kemp Rd
Beavercreek, OH 45431-2514 - Phone
- (937) 458-4200
- Fax
- (937) 458-4209
- NPI assigned
- Nov 29, 2005
- Last updated
- Apr 5, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01048969A | IN | |
| Family Medicine Physician | 207Q00000X | 35087874 | OH | Primary |
Addresses
Primary practice location
3371 Kemp Rd
Beavercreek, OH 45431-2514
Mailing address
2933 Maginn Dr
Beavercreek, OH 45434-5831
Phone (740) 644-3037
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200335580 | Medicaid | IN | |
| 2663667 | Medicaid | OH | |
| P01034947 | Other | RAILROAD MEDICARE PIN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161105000039 | FL | Order and Referring Only - Family Practice | 4789652801 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048969A | IN | MD | Family Medicine Physician |
| 35087874 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1427032952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 MAGINN DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454345831",
"telephone_number": "740-644-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3371 KEMP RD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312514",
"telephone_number": "937-458-4200",
"fax_number": "937-458-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINH",
"first_name": "CHANNHU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01048969A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35087874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200335580",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2663667",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P01034947",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.