Individual provider Active NPI

Kien Tran, D.O.

  • Internal Medicine Physician
  • West Columbia, SC
National Provider Identifier
1821073297
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
95575 Issued in SC
Practice address
145 Sunset CT Ste 200
West Columbia, SC 29169-2464
Phone
(803) 314-9360
Fax
(803) 314-9361
NPI assigned
Dec 8, 2005
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 95575 SC Primary
Internal Medicine Physician 207R00000X 5101013468 MI

Addresses

Primary practice location

145 Sunset CT Ste 200
West Columbia, SC 29169-2464

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 314-9360

Other practice location 1

475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-3507

Other identifiers 2

IdentifierTypeStateIssuer
1821073297MedicaidMI
MI4989162OtherMIMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktran205618@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201223001465 CA Practitioner - Internal Medicine 0143233387 Reassigns benefits to 1 organization
I20241114004465 NV Practitioner - Internal Medicine 0143233387 Reassigns benefits to 1 organization
I20260424002436 SC Practitioner - Internal Medicine 0143233387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 E Medical LN
Suite 210a
West Columbia, SC 29169-4817

PO Box
Suite 6069
West Columbia, SC 29171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95575SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC Internal Medicine CurrentSince Dec 9, 2024 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Oct 27, 2020 Accepting new patients
Centerwell Senior Primary Care (NV) PC Internal Medicine CurrentSince Dec 9, 2024 Accepting new patients
Centerwell Senior Primary Care NV P C Internal Medicine Past Accepting new patients
Lexington Health Inc Internal Medicine PastSince May 1, 2026 Accepting new patients

Locations

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507

475 Bruce St
Ste 900
Yreka, CA 96097

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

Interoperability endpoints

  • Direct secure messaging: kien.tran@centerwell.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1821073297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-314-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SUNSET CT STE 200",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692464",
            "telephone_number": "803-314-9360",
            "fax_number": "803-314-9361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Bruce St",
            "address_purpose": "LOCATION",
            "city": "Yreka",
            "state": "CA",
            "postal_code": "960973474",
            "country_code": "US",
            "telephone_number": "530-842-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KIEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "95575",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821073297",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI4989162",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktran205618@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "145 Sunset Ct Ste 200",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291692464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.