Individual provider Active NPI

Van Michelle Tran Ruda, MD

  • Child Abuse Pediatrics Physician
  • Houston, TX
National Provider Identifier
1740471937
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Abuse Pediatrics PhysicianTaxonomy code 2080C0008X
License
Q1288 Issued in TX
Practice address
6410 Fannin St Ste 1425
Houston, TX 77030-5305
Phone
(713) 500-5129
NPI assigned
Aug 5, 2007
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.204005 LA
Pediatrics Physician 208000000X BP10029680 TX
Pediatrics Physician 208000000X Q1288 TX
Pediatrics Physician 208000000X 24837 WV
Child Abuse Pediatrics Physician 2080C0008X Q1288 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 1425
Houston, TX 77030-5305

Mailing address

6410 Fannin St Ste 1425
Houston, TX 77030-5305
Phone (713) 500-5129

Other identifiers 1

IdentifierTypeStateIssuer
4718372457OtherMYUTMB 4718372457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170610000064 TX Practitioner - Pediatric Medicine 6305092040 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.204005LAMDPediatrics Physician
BP10029680TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
Ut Physicians CurrentSince Jul 1, 2017 Accepting new patients

Locations

6410 Fannin St
Ste 1425
Houston, TX 77030
Phone (713) 500-6064

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1740471937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 1425",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305305",
            "telephone_number": "713-500-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 1425",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305305",
            "telephone_number": "713-500-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDA",
        "first_name": "VAN MICHELLE",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.204005",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10029680",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q1288",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "24837",
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "TX",
            "license": "Q1288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4718372457",
            "identifier": "4718372457",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.