Individual provider Active NPI

Cecilia Doan Phung Tran

  • Family Medicine Physician
  • Metairie, LA
National Provider Identifier
1497259253
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1497259253 Issued in LA
Practice address
2121 Ridgelake Dr FL 3
Metairie, LA 70001-2080
Phone
(504) 325-2700
Fax
(504) 249-5527
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 1497259253 LA Primary

Addresses

Primary practice location

2121 Ridgelake Dr FL 3
Metairie, LA 70001-2080

Mailing address

2121 Ridgelake Dr FL 3
Metairie, LA 70001-2080
Phone (504) 325-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cecilia.Tran@lcmchealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20210604001468 LA Practitioner - Family Practice 5395091169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

2121 Ridgelake Dr
FL 3
Metairie, LA 70001-2080
Phone (504) 325-2700

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1497259253LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Touro Infirmary Past Accepting new patients
Nephrology Associates PastSince Aug 1, 2021 Accepting new patients

Locations

2121 Ridgelake Dr
Fl 3
Metairie, LA 70001
Phone (504) 325-2700

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

5646 Read Blvd
Ste 280
New Orleans, LA 70127
Phone (504) 246-1452

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

5646 Read Blvd
Ste 380
New Orleans, LA 70127
Phone (504) 518-5822

Interoperability endpoints

  • Direct secure messaging: cecilia.tran@lcmchealth.org

Organizations & group practices 3

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 7

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1497259253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 RIDGELAKE DR FL 3",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012080",
            "telephone_number": "504-325-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 RIDGELAKE DR FL 3",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012080",
            "telephone_number": "504-325-2700",
            "fax_number": "504-249-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "CECILIA",
        "middle_name": "DOAN PHUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "1497259253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cecilia.Tran@lcmchealth.org",
            "affiliation": "N",
            "address_1": "2121 Ridgelake Dr Fl 3",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700012080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.