Individual provider Active NPI

Thuy-Van Tran Stafford, MD

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1811079353
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
L5157 Issued in TX
Practice address
6431 Fannin MSB 3.242
Houston, TX 77030
Phone
(713) 500-5733
Fax
(713) 500-5794
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X L5157 TX Primary

Addresses

Primary practice location

6431 Fannin MSB 3.242
Houston, TX 77030

Mailing address

6431 Fannin MSB 3.242
Houston, TX 77030
Phone (713) 500-5733

Other identifiers 3

IdentifierTypeStateIssuer
152278101MedicaidTX
8G6200OtherBCBS TX
085387101OtherMEDICAID TX GROUP NUMBER

Other names 1

  • Thuy-Van Pham Stafford Former name

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
I20220915002042 TX Practitioner - Pediatric Medicine 3476938127 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 11, 2022 Accepting new patients
Ut Physicians CurrentSince Sep 11, 2022 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Medical Center Neonatal Assoc PA Neonatal-Perinatal Medicine Past Accepting new patients

Locations

6431 Fannin St
#3242
Houston, TX 77030
Phone (713) 500-5727

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Organizations & group practices 4

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1811079353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN MSB 3.242",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-5733",
            "fax_number": "713-500-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN MSB 3.242",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-5733",
            "fax_number": "713-500-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "THUY-VAN",
        "middle_name": "TRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "L5157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152278101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8G6200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TX GROUP NUMBER",
            "identifier": "085387101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THUY-VAN",
            "last_name": "STAFFORD",
            "middle_name": "PHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.