Active NPI
Tri Tu Tran, PA-C
- Surgical Physician Assistant
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9101733
- Practice address
- 1050 Old Camp Rd
Suite 202
The Villages, FL 32162-1762 - Phone
- (352) 259-5960
- Fax
- (352) 750-1854
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101733 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9101733 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | PA9101733 | FL |
Addresses
Primary practice location
1050 Old Camp Rd
Suite 202
The Villages, FL 32162-1762
Mailing address
1050 Old Camp Rd
Suite 202
The Villages, FL 32162-1762
Phone (352) 259-5960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291141800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Lagrande Blvd
Lady Lake, FL 32159-1342
Phone (352) 547-3373
2105 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251
2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251
8620 A E County Rd
Suite 466
The Villages, FL 32162-3670
Phone (352) 399-7295
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.36 of 100
- Quality
- 55.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 52.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Vein Center LLC | Physician Assistant | Current | Accepting new patients |
| Cardiovascular Institute of Central Florida, LLC | Current | Accepting new patients | |
| Osprey Emergency Physicians LLC | Past | Accepting new patients | |
| Orlando Carenow Urgent Care LLC | Past | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients | |
| Institute of Cardiovascular Excellence PLLC | Past | Accepting new patients | |
| Creekside Dermatology PA | Past | Accepting new patients |
Locations
121 Lagrande Blvd
Lady Lake, FL 32159
Phone (352) 259-5960
2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399
10000 W Colonial Dr
Ste 281
Ocoee, FL 34761
Phone (321) 841-3467
10000 W Colonial Dr
Ste 495
Ocoee, FL 34761
Phone (407) 293-5944
10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788
1050 Old Camp Rd
Ste 202
The Villages, FL 32162
Phone (352) 259-5960
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- tri.tran.1@29679.direct.athenahealth.com
- tomt@alliantderm.emadirect.md
Organizations & group practices 10
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.
-
- Dermatology Physician
- The Villages, FL
- NPI 1619232501
-
- Specialist
- Ocala, FL
- NPI 1679666598
-
- Family Medicine Physician
- The Villages, FL
- NPI 1417122037
Physician Assistant
-
dba Scott R Hannum DO PL
- Vascular Surgery Physician
- Kissimmee, FL
- NPI 1356448534
-
dba CVI Cardiac Rehab Center
- Cardiac Rehabilitation Clinic/Center
- Ocala, FL
- NPI 1457166571
-
- Dermatology Physician
- The Villages, FL
- NPI 1740703818
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
-
- Cardiovascular Disease Physician
- Ocala, FL
- NPI 1295975803
-
- Urgent Care Clinic/Center
- Winter Springs, FL
- NPI 1205389905
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1063461960
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooksville, FL
- NPI 1093884223
-
dba Better @ Home
- Home Health Agency
- The Villages, FL
- NPI 1578728242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1780658500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 OLD CAMP RD",
"address_2": "SUITE 202",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321621762",
"telephone_number": "352-259-5960",
"fax_number": "352-750-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 OLD CAMP RD",
"address_2": "SUITE 202",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321621762",
"telephone_number": "352-259-5960",
"fax_number": "352-750-1854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TRI",
"middle_name": "TU",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101733",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9101733",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9101733",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291141800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
- Total Life Long Consultants LLC
- James Edward Toth, D.O.
- TPS Health Services
- Phuong - Thi Ngoc Tran, D.O.
- Thi Thien Tran, DO
- Tri County Podiatry P a
- Tri County Podiatry PA
- Tri-County Infectious Disease (Tri-County Infectious Disease Consultants, LLC)
- Tri-County Pulmonary & Multi-Specialty Group (Villa Medical Group)
- Tri-County Pulmonary & Multi-Specialty Group P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.