Individual provider Active NPI

Ninh Xuan Tran, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1578659447
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-061-453 Issued in IL
Practice address
4947 N Winthrop Ave
Argyle Winthrop Medical Center
Chicago, IL 60640-3607
Phone
(773) 935-9969
Fax
(773) 989-9180
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036061453 IL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036061453 IL
Family Medicine Physician 207Q00000X 036-061-453 IL Primary

Addresses

Primary practice location

4947 N Winthrop Ave
Argyle Winthrop Medical Center
Chicago, IL 60640-3607

Mailing address

4947 N Winthrop Ave
Argyle Winthrop Medical Center
Chicago, IL 60640-3607
Phone (773) 935-9969

Other identifiers 2

IdentifierTypeStateIssuer
31601581OtherILBCBS OF IL
036061453MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070403000011 IL Practitioner - General PracticePractitioner - General SurgeryPractitioner - Family PracticePractitioner - Geriatric Medicine 4082718960 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4947 N Winthrop Ave
Chicago, IL 60640-3607
Phone (773) 989-9118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-061-453ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Mi Mobile Doctors P.C. Geriatric Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1578659447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 N WINTHROP AVE",
            "address_2": "ARGYLE WINTHROP MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403607",
            "telephone_number": "773-935-9969",
            "fax_number": "773-989-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4947 N WINTHROP AVE",
            "address_2": "ARGYLE WINTHROP MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403607",
            "telephone_number": "773-935-9969",
            "fax_number": "773-989-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NINH",
        "middle_name": "XUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036061453",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036061453",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-061-453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "31601581",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061453",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.