Individual provider Active NPI

Tai M Tran, M.D.

  • Diagnostic Radiology Physician
  • Burlington, MA
National Provider Identifier
1790892834
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
229979 Issued in MA
Practice address
Lahey Medical Ctr
41 Mall Road
Burlington, MA 01805-0001
Phone
(781) 744-8170
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 229979 MA Primary

Addresses

Primary practice location

Lahey Medical Ctr
41 Mall Road
Burlington, MA 01805-0001

Mailing address

175 Beacon St
Apt. #301
Somerville, MA 02143-3638
Phone (781) 744-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090805000110 MA Practitioner - Diagnostic Radiology 7012060239 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians
North Bridge Imaging Group, LLCGroup PAC ID 3577451178, 16 clinicians

Practice addresses (Care Compare)

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

133 Old Rd to Nine Acre Corner
Radiology Department
Concord, MA 01742-4159
Phone (978) 287-3794

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Dec 20, 2023 Accepting new patients
North Bridge Imaging Group, LLC CurrentSince Jun 1, 2009 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince Feb 2, 2020 Accepting new patients
North Bridge Imaging Group, LLC CurrentSince Jun 1, 2009 Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

10 Little Brook Rd
West Wareham, MA 02576

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1790892834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BEACON ST",
            "address_2": "APT. #301",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433638",
            "telephone_number": "781-744-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAHEY MEDICAL CTR",
            "address_2": "41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "229979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.