Trung Van Ha, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

Q3883 Issued in TX

Practice address

4441 W Airport Fwy Ste 215
Irving, TX 75062-5959

Phone

(469) 913-6136

Fax

(877) 559-7679

NPI assigned

Oct 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iconiq Spine and Orthopaedic Center, PLLCGroup PAC ID 3476902719, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trungvah@holistiq.emadirect.md

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.

• Iconiq Spine & Orthopaedic Center PLLC

  • Interventional Pain Medicine Physician
  • Irving, TX
  • NPI 1578279238
  Medicare reassignment Care Compare group NPD Authorized official
• Valiant Anesthesia PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Irving, TX
  • NPI 1053093484
  Medicare reassignment NPD
• Quantum Interventional Sports and Spine Medicine

  • Interventional Pain Medicine Physician
  • Irving, TX
  • NPI 1235611666
  NPD Authorized official
• Iconiq Spine & Orthopaedic Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Arlington, TX
  • NPI 1265278790
  NPD (past) Authorized official
• Iconiq Spine & Orthopaedic Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Plano, TX
  • NPI 1811733348
  NPD (past) Authorized official
• Iconiq Spine & Orthopaedic Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1982440426
  NPD (past) Authorized official
• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1740233592
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1780936971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 W AIRPORT FWY STE 215",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625959",
            "telephone_number": "469-913-6136",
            "fax_number": "877-559-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 W AIRPORT FWY STE 215",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625959",
            "telephone_number": "469-913-6136",
            "fax_number": "877-559-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5655 W Spring Creek Pkwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750244175",
            "country_code": "US",
            "telephone_number": "469-913-6136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 W Tucker St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042236",
            "country_code": "US",
            "telephone_number": "469-913-6136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 N Collins St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760112645",
            "country_code": "US",
            "telephone_number": "469-913-6136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "TRUNG",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2024-07-03",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q3883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Isela Guzman
• Sheila Gwin-Johnson, PMHNP
• H & W Medical Supply, LLC
• H Eldon Attaway DDS MSD PC
• H-E-B, LP
• Nausheen Nooruddin Habib, LCSW-S
• Dana Hachtel, PHARMD
• Dylan Todd Hachtel, PHARM.D.
• Elizabeth Haddad, APRN
• Salem Hadgu, DDS

• Interventional Pain Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.

Verify at the official NPI Registry.