Individual provider Active NPI

Ngoc Huu Quyuh Tran, PA

  • Physician Assistant
  • Royal City, WA
National Provider Identifier
1720426596
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60363177 Issued in WA
Practice address
103 Camelia St NW
Royal City, WA 99357
Phone
(509) 663-8711
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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 PA60363177 WA Primary

Addresses

Primary practice location

103 Camelia St NW
Royal City, WA 99357

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Other practice location 1

505 S 336th St Ste 500
Federal Way, WA 98003-8300
Phone (206) 962-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131025000757 WA Practitioner - Physician Assistant 4880829969 Reassigns benefits to 4 organizations
I20160609000286 TX Practitioner - Physician Assistant 4880829969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Indian Health BoardGroup PAC ID 7517866973, 29 clinicians

Practice addresses (Care Compare)

124 2ND Ave S
Seattle, WA 98104-5168
Phone (206) 324-9360

611 12TH Ave S
Seattle, WA 98144-1910

611 12TH Ave S
Seattle, WA 98144-2007
Phone (206) 324-9360

Merit-based Incentive Payment System (MIPS)

Final score
77.07 of 100Reported as group
Quality
73.06
Improvement activities
40
Cost
69.92

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
72.08
Promoting interoperability
70
Improvement activities
40
Cost
66.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60363177WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Apr 26, 2016 Accepting new patients
Seattle Indian Health Board CurrentSince Jul 11, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince May 22, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince May 22, 2023 Accepting new patients
Seattle Indian Health Board Past Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360

Interoperability endpoints

  • Direct secure messaging: ngtran@landmarkhealth-direct.org

Organizations & group practices 10

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1720426596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CAMELIA ST NW",
            "city": "ROYAL CITY",
            "state": "WA",
            "postal_code": "99357",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 S 336th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038300",
            "country_code": "US",
            "telephone_number": "206-962-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NGOC",
        "middle_name": "HUU QUYUH",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60363177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal City, WA

Sources for this page

Verify at the official NPI Registry.