Individual provider Active NPI

Joseph Tran

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1649916354
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1827 N Homestead St
Wichita, KS 67208-1810
Phone
(316) 300-1281
NPI assigned
May 6, 2022
Last updated
May 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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 Primary

Addresses

Primary practice location

1827 N Homestead St
Wichita, KS 67208-1810

Mailing address

1827 N Homestead St
Wichita, KS 67208-1810
Phone (316) 300-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230125002913 KS Practitioner - Physician Assistant 8527439777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Ear Clinic, PAGroup PAC ID 5092771485, 7 clinicians

Practice addresses (Care Compare)

9350 E Central Ave
Wichita, KS 67206-2555
Phone (316) 686-6608

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Kansas Association, Inc CurrentSince Dec 12, 2022 Accepting new patients
Wichita Ear Clinic, PA CurrentSince Jan 3, 2026 Accepting new patients
West Central Kansas Association, Inc. CurrentSince Dec 12, 2022 Accepting new patients

Locations

200 S Main St
#B
Russell, KS 67665
Phone (785) 483-3333

9350 E Central Ave
Wichita, KS 67206
Phone (316) 686-6608

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

Hospital & facility affiliations 2

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1649916354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 N HOMESTEAD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081810",
            "telephone_number": "316-300-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 N HOMESTEAD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081810",
            "telephone_number": "316-300-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.