Individual provider Active NPI

Dan Tran, DO

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1689849622
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6917 Issued in KS
Practice address
100 S Market St Ste 2C
Wichita, KS 67202
Phone
(316) 755-0144
Fax
(844) 274-1204
NPI assigned
Apr 29, 2008
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6917 KS Primary
Hospitalist Physician 208M00000X 33913 KS

Addresses

Primary practice location

100 S Market St Ste 2C
Wichita, KS 67202

Mailing address

100 S Market St Ste 2C
Wichita, KS 67202-3824
Phone (316) 755-0144

Other practice location 1

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 962-3976

Other practice location 2

100 S Market St Ste 2C
Wichita, KS 67202
Phone (316) 755-0144

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000426 KS Practitioner - Family Practice 7911052204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City College of Medicine and Surgery, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6700 E 45TH St N
Bel Aire, KS 67226-8817
Phone (316) 744-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
67.95
Improvement activities
40
Cost
77.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6917KSMDFamily Medicine Physician
33913KSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hospitalists of Kansas, LLC CurrentSince Jul 1, 2013 Accepting new patients
Premier Hospitalists of Kansas, LLC Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Villa Maria, Inc. Past Accepting new patients
Catholic Care Center, Inc. Past Accepting new patients
Premier Hospitalists of Kansas, LLC Past Accepting new patients
Medical Consultants of Kansas,LLC Hospitalist Past Accepting new patients

Locations

6700 E 45th St N
Bel Aire, KS 67226
Phone (316) 744-2020

445 N Westview Dr
Derby, KS 67037
Phone (316) 788-3739

100 S Market St
Ste 2C
Wichita, KS 67202

14800 W Saint Teresa St
Wichita, KS 67235
Phone (316) 268-6976

1555 N Meridian Ave
Wichita, KS 67203
Phone (316) 942-8471

2828 N Governeour St
Wichita, KS 67226
Phone (316) 636-1000

3515 W Central Ave
Wichita, KS 67203
Phone (316) 942-0119

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

8338 W 13th St N
Wichita, KS 67212
Phone (316) 729-1030

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

929 N Saint Francis Ave
Fl 6
Wichita, KS 67214
Phone (316) 261-8303

929 N Saint Francis Ave
Fl 8
Wichita, KS 67214

Interoperability endpoints

  • Direct secure messaging: dan.tran@directsbamh.org
  • Direct secure messaging: dan.tran@khindirect.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. VeronicaBel Aire, KS, CCN 174027 Hospital Contracted Managing Employee
Corporate Officer
Jul 1, 2023
Jul 22, 2022
Villa MariaMulvane, KS, CCN 175456 Skilled nursing facility Corporate Director May 15, 2025
Catholic Care CenterBel Aire, KS, CCN 175410 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF
Jul 1, 2022
Jul 1, 2022
Jul 5, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 4

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1689849622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST STE 2C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023824",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST STE 2C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67202",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-962-3976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Market St Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67202",
            "country_code": "US",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "6917",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "33913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.