Individual provider Active NPI

Deanna Tran, D.O.

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1427172584
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 9897 Issued in FL
Practice address
1175 Spring Centre South Blvd Ste 1020
Altamonte Springs, FL 32714-5000
Phone
(321) 221-8522
Fax
(407) 297-9801
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS 9897 FL Primary

Addresses

Primary practice location

1175 Spring Centre South Blvd Ste 1020
Altamonte Springs, FL 32714-5000

Mailing address

1175 Spring Centre South Blvd
Suite 1020
Altamonte Springs, FL 32714
Phone (407) 297-0805

Other practice location 1

1117 N Pine Hills Rd
Orlando, FL 32808-7125
Phone (407) 297-0805

Other identifiers 1

IdentifierTypeStateIssuer
OS 9897OtherFLLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071201000177 FL Practitioner - Family Practice 2163511973 Reassigns benefits to 1 organization
Practice locations: Orlando, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1117 N Pine Hills Rd
Orlando, FL 32808-7125
Phone (407) 297-0805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 9897FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Truc C. Tran, MD PA Family Medicine CurrentSince Mar 19, 2011 Accepting new patients
Cedars-Sinai Medical Care Foundation Past Accepting new patients

Locations

1175 Spring Centre South Blvd
Ste 1020
Altamonte Springs, FL 32714
Phone (321) 221-8522

1175 Spring Centre South Blvd
Altamonte Springs, FL 32714

1117 N Pine Hills Rd
Orlando, FL 32808
Phone (407) 297-0805

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1427172584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 SPRING CENTRE SOUTH BLVD",
            "address_2": "SUITE 1020",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-297-0805",
            "fax_number": "407-297-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 SPRING CENTRE SOUTH BLVD STE 1020",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145000",
            "telephone_number": "321-221-8522",
            "fax_number": "407-297-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 N Pine Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328087125",
            "country_code": "US",
            "telephone_number": "407-297-0805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DEANNA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 9897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS 9897",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.