Individual provider Active NPI

Jordan Le Tran, M.D.

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1730417338
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101256096 Issued in VA
Practice address
125 Prosperity Dr
Suite 500
Winchester, VA 22602-5385
Phone
(540) 508-0651
Fax
(540) 508-0841
NPI assigned
Nov 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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 0101256096 VA Primary

Addresses

Primary practice location

125 Prosperity Dr
Suite 500
Winchester, VA 22602-5385

Mailing address

3038 Valley Ave
Winchester, VA 22601-2637
Phone (540) 508-0651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150810002652 VA Practitioner - Family Practice 7113232836 Reassigns benefits to 3 organizations
I20190723002815 DC Practitioner - Family Practice 7113232836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3038 Valley Ave
Winchester, VA 22601-2637
Phone (540) 508-0651

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care, LLC Current Accepting new patients
Velocity Urgent Care, LLC CurrentSince Sep 26, 2018 Accepting new patients
Boden Health System LLC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Sep 2, 2016 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 8, 2020 Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Sep 2, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medics USA, Inc Past Accepting new patients

Locations

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1001 Centerbrooke Ln
Ste 100
Suffolk, VA 23434
Phone (757) 702-8105

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

4 Weems Ln
Winchester, VA 22601

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

125 Prosperity Dr
Ste 500
Winchester, VA 22602
Phone (540) 508-0651

3038 Valley Ave
Winchester, VA 22601
Phone (540) 508-0651

136 Linden Dr
Ste 104
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: jtran@d7f151f9.micromddirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CECEAD

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1730417338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 VALLEY AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012637",
            "telephone_number": "540-508-0651",
            "fax_number": "540-585-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PROSPERITY DR",
            "address_2": "SUITE 500",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226025385",
            "telephone_number": "540-508-0651",
            "fax_number": "540-508-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JORDAN",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101256096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.