Individual provider Active NPI

Huong-Thao Thy Tran, M.D.

  • Family Medicine Physician
  • Vandalia, OH
National Provider Identifier
1700235983
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.136600 Issued in OH
Practice address
270 James Bohanan Dr
Vandalia, OH 45377-2342
Phone
(937) 915-6531
Fax
(937) 421-8919
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 MMD.39729 LL SC
Family Medicine Physician 207Q00000X 35.136600 OH Primary

Addresses

Primary practice location

270 James Bohanan Dr
Vandalia, OH 45377-2342

Mailing address

270 James Bohanan Dr
Vandalia, OH 45377-2342
Phone (937) 915-6531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 4, 2025 through Jan 4, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MMD.39729 LLSCMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: htran552406@direct.ketteringhealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1700235983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 JAMES BOHANAN DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772342",
            "telephone_number": "937-915-6531",
            "fax_number": "937-421-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 JAMES BOHANAN DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772342",
            "telephone_number": "937-915-6531",
            "fax_number": "937-421-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HUONG-THAO",
        "middle_name": "THY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MMD.39729 LL",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.136600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

Verify at the official NPI Registry.