Active NPI
Thao Dinh Tran, DO
- Anesthesiology Physician
- Oro Valley, AZ
National Provider Identifier
1528094596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 009400
- Practice address
- 11406 N Baja PL
Oro Valley, AZ 85742-0126 - Phone
- (253) 318-9039
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OP00001636 | WA | |
| Anesthesiology Physician | 207L00000X | 009400 | AZ | Primary |
Addresses
Primary practice location
11406 N Baja PL
Oro Valley, AZ 85742-0126
Mailing address
11406 N Baja PL
Oro Valley, AZ 85742-0126
Phone (253) 318-9039
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141622 | Other | WA | LNI |
| 2136256 | Medicaid | WA | |
| 050080927 | Other | WA | RAILROAD MEDICARE |
| 159029600 | Other | WA | FEDERAL LABOR & INDUSTRY |
| 2252TR | Other | WA | REGENCE BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001636 | WA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1528094596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11406 N BAJA PL",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857420126",
"telephone_number": "253-318-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11406 N BAJA PL",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857420126",
"telephone_number": "253-318-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THAO",
"middle_name": "DINH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "OP00001636",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "009400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LNI",
"identifier": "141622",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2136256",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050080927",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL LABOR & INDUSTRY",
"identifier": "159029600",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "2252TR",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.