Individual provider Active NPI

Dat T Tran, M.D.

  • Internal Medicine Physician
  • Goodyear, AZ
National Provider Identifier
1720047566
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31760 Issued in AZ
Practice address
3090 N Litchfield Rd Ste 120
Goodyear, AZ 85395-9214
Phone
(623) 536-0707
Fax
(623) 536-2323
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31760 AZ Primary

Addresses

Primary practice location

3090 N Litchfield Rd Ste 120
Goodyear, AZ 85395-9214

Mailing address

9590 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4583
Phone (480) 455-3000

Other practice location 1

10249 W Thunderbird Blvd Ste 100
Sun City, AZ 85351-3113
Phone (623) 972-1151

Other practice location 2

15021 W Bell Rd Ste 125
Surprise, AZ 85374-3916
Phone (623) 476-7880

Other identifiers 1

IdentifierTypeStateIssuer
793655MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050830000748 AZ Practitioner - Internal Medicine 8325029671 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC CurrentSince Nov 16, 2020 Accepting new patients
4C Medical Group PLC Family Medicine Current Accepting new patients
Ajay Narwani MD PLLC Past Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine PastSince Nov 1, 2008 Accepting new patients
Premiere Physicians Inc Internal Medicine Past Accepting new patients

Locations

3090 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (602) 843-8426

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

10249 W Thunderbird Blvd
Ste 300
Sun City, AZ 85351
Phone (623) 322-5900

10249 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 249-5617

15021 W Bell Rd
Ste 125
Surprise, AZ 85374
Phone (623) 476-7880

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1720047566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584583",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 N LITCHFIELD RD STE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959214",
            "telephone_number": "623-536-0707",
            "fax_number": "623-536-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10249 W Thunderbird Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513113",
            "country_code": "US",
            "telephone_number": "623-972-1151",
            "fax_number": "623-972-4375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15021 W Bell Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853743916",
            "country_code": "US",
            "telephone_number": "623-476-7880",
            "fax_number": "623-476-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DAT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793655",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.