NPIMap

Individual provider Active NPI

Danny Phan Tran, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1831825215
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4832 Issued in OK
Practice address
535 NW 9TH Suite 235
Oklahoma City, OK 73102-2228
Phone
(405) 772-4367
Fax
(405) 772-4339
NPI assigned
Jul 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4832 OK Primary
Medical Physician Assistant 363AM0700X 4832 OK

Addresses

Primary practice location

535 NW 9TH Suite 235
Oklahoma City, OK 73102-2228

Mailing address

6708 Stinchcomb Dr
Oklahoma City, OK 73132-3713
Phone (405) 474-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830001543 OK Practitioner - Physician Assistant 4880078583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Oakwood Springs, LLC PastSince Jul 1, 2022 Accepting new patients

Locations

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

535 NW 9th St
Ste 205
Oklahoma City, OK 73102
Phone (405) 231-2900

535 NW 9th St
Ste 235
Oklahoma City, OK 73102
Phone (405) 272-6877

Interoperability endpoints

  • Direct secure messaging: dphantran455077@direct-ehr-ssmhc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1831825215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 STINCHCOMB DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323713",
            "telephone_number": "405-474-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NW 9TH SUITE 235",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022228",
            "telephone_number": "405-772-4367",
            "fax_number": "405-772-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN TRAN",
        "first_name": "DANNY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4832",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "4832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.