NPIMap

Individual provider Active NPI

Kimngan Pham Tran, MD

  • Obstetrics & Gynecology Physician
  • Leesville, LA
National Provider Identifier
1609181007
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
207355 Issued in LA
Practice address
1112 Port Arthur Ter
Leesville, LA 71446-4656
Phone
(337) 238-5081
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 207355 LA Primary

Addresses

Primary practice location

1112 Port Arthur Ter
Leesville, LA 71446-4656

Mailing address

1229 Port Arthur Ter
Leesville, LA 71446-4257
Phone (713) 409-0442

Other identifiers 1

IdentifierTypeStateIssuer
#39OtherNJST JOSEPH HOSTPITAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141203002103 LA Practitioner - Obstetrics/Gynecology 5496077372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swla Center for Health ServicesGroup PAC ID 9133029853, 26 clinicians

Practice addresses (Care Compare)

500 Patterson St
Lafayette, LA 70501-1849
Phone 33776994511674

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207355LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swla Center for Health Services CurrentSince Jul 8, 2016 Accepting new patients
Swla Center for Health Services Current Accepting new patients
Swla Center for Health Services Obstetrics & Gynecology CurrentSince Jul 8, 2016 Accepting new patients
Swla Center for Health Services Obstetrics & Gynecology Past Accepting new patients
Swla Center for Health Services Obstetrics & Gynecology Past Accepting new patients
Swla Center for Health Services Obstetrics & Gynecology Past Accepting new patients
Christus Health Southwestern Louisiana Past Accepting new patients

Locations

526 Crowley Rayne Hwy
Crowley, LA 70526
Phone (337) 783-1791

500 Patterson St
Lafayette, LA 70501
Phone (337) 769-9451

2000 Opelousas St
Lake Charles, LA 70601
Phone (318) 439-9983

112 N Sixth St
Oberlin, LA 70655
Phone (337) 639-2281

Interoperability endpoints

  • Direct secure messaging: ktran415379@christushealth.direct-ci.net

Organizations & group practices 9

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 3

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1609181007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464257",
            "telephone_number": "713-409-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464656",
            "telephone_number": "337-238-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KIMNGAN",
        "middle_name": "PHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "207355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST JOSEPH HOSTPITAL",
            "identifier": "#39",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.