Individual provider Active NPI

Peter Tran, PA-C

  • Physician Assistant
  • Pasadena, TX
National Provider Identifier
1568033728
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14363 Issued in TX
Practice address
6243 Fairmont Pkwy Ste 104
Pasadena, TX 77505-4046
Phone
(832) 402-7856
Fax
(713) 904-3071
NPI assigned
Jul 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14363 TX Primary

Addresses

Primary practice location

6243 Fairmont Pkwy Ste 104
Pasadena, TX 77505-4046

Mailing address

6243 Fairmont Pkwy Ste 104
Pasadena, TX 77505-4046
Phone (832) 402-7856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720000923 TX Practitioner - Physician Assistant 2567865249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14363TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical PA PastSince Oct 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: peter.tran@42242842558468.direct.elationemr.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1568033728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 FAIRMONT PKWY STE 104",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054046",
            "telephone_number": "832-402-7856",
            "fax_number": "713-904-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 FAIRMONT PKWY STE 104",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054046",
            "telephone_number": "832-402-7856",
            "fax_number": "713-904-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PETER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.