NPIMap

Individual provider Active NPI

Tuongvan T. Tran, M.D.

  • Family Medicine Physician
  • Blue Springs, MO
National Provider Identifier
1689667537
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD105765 Issued in MO
Practice address
104 No. 7 Highway
Suite B
Blue Springs, MO 64014
Phone
(816) 229-8880
Fax
(816) 229-4363
NPI assigned
Aug 25, 2005
Last updated
May 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD105765 MO Primary

Addresses

Primary practice location

104 No. 7 Highway
Suite B
Blue Springs, MO 64014

Mailing address

104 NW State Route 7
Ste B
Blue Springs, MO 64014-2749
Phone (816) 229-8880

Other identifiers 2

IdentifierTypeStateIssuer
22486123OtherMOBC/BS
0973270OtherMOAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20091230000051 MO Practitioner - Family Practice 2163562935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Springs Family Care PCGroup PAC ID 8527039601, 7 clinicians

Practice addresses (Care Compare)

104 N 7 Hwy
Suite B
Blue Springs, MO 64014-2749
Phone (816) 229-8880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD105765MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Springs Family Care PC Family Medicine CurrentSince Aug 1, 1999 Accepting new patients

Locations

104 NW State Route 7
Ste B
Blue Springs, MO 64014
Phone (816) 229-8880

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 5

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1689667537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NW STATE ROUTE 7",
            "address_2": "STE B",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142749",
            "telephone_number": "816-229-8880",
            "fax_number": "816-229-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NO. 7 HIGHWAY",
            "address_2": "SUITE B",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-229-8880",
            "fax_number": "816-229-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TUONGVAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD105765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "22486123",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0973270",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.