Individual provider Active NPI

Tammy Theresa Tran-Yang, D.O.

  • Gastroenterology Physician
  • Grand Rapids, MI
National Provider Identifier
1578856530
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101019188 Issued in MI
Practice address
310 Lafayette Ave SE Ste 200
Grand Rapids, MI 49503-4693
Phone
(616) 752-6525
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 5101019188 MI Primary

Addresses

Primary practice location

310 Lafayette Ave SE Ste 200
Grand Rapids, MI 49503-4693

Mailing address

5900 Byron Center Ave SW
Medical Administration
Wyoming, MI 49519-9606
Phone (616) 252-3243

Other practice location 1

2093 Health Dr SW Ste 302
Wyoming, MI 49519-9691
Phone (616) 252-5775

Other practice location 2

11885 E 12 Mile Rd
Ste. 300A
Warren, MI 48093-3474
Phone (586) 582-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170810000575 MI Practitioner - Gastroenterology 9830460740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Health/Saint Mary'S Medical GroupGroup PAC ID 4082807961, 499 clinicians

Practice addresses (Care Compare)

310 Lafayette Ave SE
400 Trinity Health Medical Group Gastro
Grand Rapids, MI 49503-4693
Phone (616) 752-6525

Hospital & facility affiliations

  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019188MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital Multi-Specialty CurrentSince Sep 5, 2017 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Advantage Health Saint Mary'S Medical Group Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Advantage Health/Saint Mary'S Medical Group Multi-Specialty Current Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

310 Lafayette Ave SE
Ste 200
Grand Rapids, MI 49503
Phone (616) 752-5890

310 Lafayette Ave SE
Ste 400
Grand Rapids, MI 49503
Phone (616) 752-6525

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

2093 Health Dr SW
Ste 302
Wyoming, MI 49519
Phone (616) 252-5201

2093 Health Dr SW
Ste 301
Wyoming, MI 49519
Phone (616) 241-3500

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: ttranyang3404439@direct.trinity-health.org
  • Direct secure messaging: ttran367676@direct.hfhs.org

Organizations & group practices 4

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 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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1578856530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "address_2": "MEDICAL ADMINISTRATION",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-252-3243",
            "fax_number": "616-252-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE AVE SE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034693",
            "telephone_number": "616-752-6525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2093 Health Dr SW Ste 302",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495199691",
            "country_code": "US",
            "telephone_number": "616-252-5775",
            "fax_number": "616-252-5785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11885 E 12 Mile Rd",
            "address_2": "Ste. 300A",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480933474",
            "country_code": "US",
            "telephone_number": "586-582-6630",
            "fax_number": "586-582-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN-YANG",
        "first_name": "TAMMY",
        "middle_name": "THERESA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101019188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.