Active NPI
Janie Kwak-Tran, M.D.
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10236
- Practice address
- 5052 S Jones Blvd Ste 105
Las Vegas, NV 89118-0552 - Phone
- (702) 220-9611
- Fax
- (702) 220-9163
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10236 | NV | Primary |
Addresses
Primary practice location
5052 S Jones Blvd Ste 105
Las Vegas, NV 89118-0552
Mailing address
10624 S Eastern Ave # A285
Henderson, NV 89052-2982
Phone (702) 220-9611
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 861057211 | Other | NV | TRICARE |
| 861057211 | Other | NV | CIGNA |
| 861057211 | Other | NV | AETNA |
| 002018869 | Medicaid | NV | |
| 10236 | Other | NV | NV STATE LICENSE |
| 861057211 | Other | NV | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Nevada School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5052 S Jones Blvd
Suite 105
Las Vegas, NV 89118-0552
Phone (702) 220-9611
Hospital & facility affiliations
- Fidelity Home Health Services, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janie Kwak Tran MD Inc | Internal Medicine | Current | Accepting new patients |
Locations
10624 S Eastern Ave
#A285
Henderson, NV 89052
5052 S Jones Blvd
Ste 105
Las Vegas, NV 89118
Phone (702) 220-9611
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGIGBD/Endpoint/DGIGBD
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1912177247
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1225415185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1497847438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A285",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-220-9611",
"fax_number": "702-220-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5052 S JONES BLVD STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891180552",
"telephone_number": "702-220-9611",
"fax_number": "702-220-9163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAK-TRAN",
"first_name": "JANIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "10236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "861057211",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "861057211",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "861057211",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018869",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV STATE LICENSE",
"identifier": "10236",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "861057211",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.