Active NPI
Van Michelle Tran Ruda, MD
- Child Abuse Pediatrics Physician
- Houston, TX
National Provider Identifier
1740471937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Abuse Pediatrics Physician
- License
- Q1288
- Practice address
- 6410 Fannin St Ste 1425
Houston, TX 77030-5305 - Phone
- (713) 500-5129
- NPI assigned
- Aug 5, 2007
- Last updated
- Mar 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4718372457 | Other | MYUTMB 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.204005 | LA | MD | Pediatrics Physician |
| BP10029680 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Pediatrics | Current | Accepting new patients |
| Ut Physicians | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.