Individual provider Active NPI

Lan Thao Tran, M.D.

  • Maternal & Fetal Medicine Physician
  • Seattle, WA
National Provider Identifier
1750448486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
00042279 Issued in WA
Practice address
1229 Madison St
Suite 750
Seattle, WA 98104-3586
Phone
(206) 386-2101
Fax
(206) 386-2555
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 00042279 WA Primary

Addresses

Primary practice location

1229 Madison St
Suite 750
Seattle, WA 98104-3586

Mailing address

1229 Madison St
Suite 750
Seattle, WA 98104-3586
Phone (206) 386-2101

Other identifiers 1

IdentifierTypeStateIssuer
8364267MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040719001125 WA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 6204815525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrix Medical Group of Washington Inc PSGroup PAC ID 3577451947, 32 clinicians

Practice addresses (Care Compare)

900 Pacific Ave
Everett, WA 98201-4168
Phone 80024338397746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00042279WAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Washington Inc PS Maternal & Fetal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Swedish Health Services Past Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

1110 112th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 688-8111

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

751 NE Blakely Dr
Ste 2030
Issaquah, WA 98029
Phone (425) 313-4141

12333 NE 130th Ln
Ste 240
Kirkland, WA 98034
Phone (425) 899-2200

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

1229 Madison St
Ste 750
Seattle, WA 98104
Phone (206) 386-2101

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Interoperability endpoints

  • Direct secure messaging: ltran1043454@wm.providencedirect.org

Organizations & group practices 3

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750448486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "SUITE 750",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043586",
            "telephone_number": "206-386-2101",
            "fax_number": "206-386-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "SUITE 750",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043586",
            "telephone_number": "206-386-2101",
            "fax_number": "206-386-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LAN",
        "middle_name": "THAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WA",
            "license": "00042279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8364267",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.