Individual provider Active NPI

Kim Tran

  • Family Medicine Physician
  • Orange, CT
National Provider Identifier
1437737772
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79535 Issued in CT
Practice address
325 Boston Post Rd Ste 2F
Orange, CT 06477-3504
Phone
(203) 795-3354
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 79535 CT Primary

Addresses

Primary practice location

325 Boston Post Rd Ste 2F
Orange, CT 06477-3504

Mailing address

1016 N High St
East Haven, CT 06512-1158
Phone (203) 535-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250109000209 CT Practitioner - Family PracticePractitioner - Internal Medicine 5193253813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

325 Boston Post Rd
Orange, CT 06477-3504
Phone (203) 795-0568

Hospital & facility affiliations

  • Orange Visiting Nurse Association Home health agency, Orange, CT, CCN 077078
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79535CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jan 27, 2025 Accepting new patients
Stamford Health Medical Group Inc Family Medicine PastSince Apr 1, 2021 Accepting new patients

Locations

20 York St
North Haven, CT 06510
Phone (203) 688-2433

325 Boston Post Rd
Fl 2
Orange, CT 06477
Phone (203) 795-3354

325 Boston Post Rd
Ste 2F
Orange, CT 06477
Phone (203) 795-0568

325 Boston Post Rd
Orange, CT 06477
Phone (203) 795-0568

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: ktran149329@direct.ynhh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

Hospital & facility affiliations 6

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1437737772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N HIGH ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065121158",
            "telephone_number": "203-535-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BOSTON POST RD STE 2F",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773504",
            "telephone_number": "203-795-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "79535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.