Individual provider Active NPI

Khoi Tan Nguyen Tran, D.O.

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1750769840
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U8147 Issued in TX
Practice address
252 Matlock Rd Ste 130
Mansfield, TX 76063-4295
Phone
(682) 242-8990
Fax
(682) 242-8996
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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 U8147 TX Primary

Addresses

Primary practice location

252 Matlock Rd Ste 130
Mansfield, TX 76063-4295

Mailing address

252 Matlock Rd Ste 130
Mansfield, TX 76063-4295
Phone (682) 242-8990

Other practice location 1

3700 S Cooper St
Arlington, TX 76015-3413
Phone (817) 419-1046

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
I20240322001206 TX Practitioner - Family Practice 1557616232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

252 Matlock Rd
Suite 130
Mansfield, TX 76063-4295
Phone (817) 473-7184

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Texas, P.a. Current Accepting new patients
Medhealth CurrentSince Nov 25, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Feb 10, 2024 Accepting new patients
Medhealth Family Medicine CurrentSince Nov 25, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Feb 10, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients

Locations

3700 S Cooper St
Arlington, TX 76015
Phone (817) 419-1046

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

4560 Lake Ridge Pkwy
Ste 110
Grand Prairie, TX 75052
Phone (972) 522-7778

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

252 Matlock Rd
Ste 130
Mansfield, TX 76063
Phone (682) 242-8990

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: ktran271669@dm.mhd.com
  • Direct secure messaging: clrk_-_khoi_tran_-_physician@yourcarecommunity.org
  • Direct secure messaging: khoi.tran.1@15020.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1750769840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MATLOCK RD STE 130",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634295",
            "telephone_number": "682-242-8990",
            "fax_number": "682-242-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MATLOCK RD STE 130",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634295",
            "telephone_number": "682-242-8990",
            "fax_number": "682-242-8996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 S Cooper St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760153413",
            "country_code": "US",
            "telephone_number": "817-419-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KHOI",
        "middle_name": "TAN NGUYEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U8147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.