Individual provider Active NPI

Dong Phuoc Tran, M.D.

  • Anesthesiology Physician
  • Ormond Beach, FL
National Provider Identifier
1467637678
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME103775 Issued in FL
Practice address
1317 Harwick LN
Ormond Beach, FL 32174-1022
Phone
(123) 456-7890
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME103775 FL Primary
Anesthesiology Physician 207L00000X 229292 MA

Addresses

Primary practice location

1317 Harwick LN
Ormond Beach, FL 32174-1022

Mailing address

1317 Harwick LN
Ormond Beach, FL 32174-1022

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
I20091107000039 FL Practitioner - Anesthesiology 1951449214 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Tufts University School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Modern Anesthesia and Billing Services, LLCGroup PAC ID 5991234452, 5 clinicians

Practice addresses (Care Compare)

2821 Proctor Rd
Sarasota, FL 34231-6443
Phone (941) 870-1879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229292MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartan Anesthesia Associates PA Anesthesiology CurrentSince Jan 1, 2019 Accepting new patients
Sarasota Anesthesia Services LLC Anesthesiology CurrentSince Apr 24, 2019 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
GCSC Anesthesia LLC CurrentSince Oct 14, 2019 Accepting new patients
Modern Anesthesia and Billing Services, LLC Anesthesiology CurrentSince Mar 31, 2025 Accepting new patients
Bay Area Professional Anesthesia LLC Anesthesiology CurrentSince Jun 25, 2019 Accepting new patients
Modern Anesthesia and Billing Services, LLC Anesthesiology PastSince Dec 1, 2024 Accepting new patients

Locations

1750 Englewood Rd
Englewood, FL 34223
Phone (941) 473-1900

1401 West Bay Dr
Largo, FL 33770
Phone (727) 585-9500

600 N Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 234-0498

3333 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 376-4546

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

Organizations & group practices 7

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1467637678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 HARWICK LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 HARWICK LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741022",
            "telephone_number": "123-456-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DONG",
        "middle_name": "PHUOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME103775",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "229292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.