Active NPI
Khiem Quoc Tran, M.D.
- Family Medicine Physician
- Annandale, VA
National Provider Identifier
1841407202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101244421
- Practice address
- 7306 Maple PL
Annandale, VA 22003-3005 - Phone
- (703) 333-5001
- Fax
- (703) 333-5087
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101244421 | VA | Primary |
Addresses
Primary practice location
7306 Maple PL
Annandale, VA 22003-3005
Mailing address
7306 Maple PL
Annandale, VA 22003-3005
Phone (330) 615-3205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101244421 | Other | VA | LICENSE |
| 1841407202 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7306 Maple PL
Annandale, VA 22003-3005
Phone (703) 333-5001
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.69 of 100
- Quality
- 71.15
- Improvement activities
- 40
- Cost
- 91.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Urgent Care PC | Current | Accepting new patients | |
| Centra Medical Group Southside, LLC | Family Medicine | Past | Accepting new patients |
| Hospitalist Medicine Physicians of Summit County, LTD. | Past | Accepting new patients |
Locations
7306 Maple Pl
Annandale, VA 22003
Phone (703) 333-5001
Interoperability endpoints
- https://api.platform.athenahealth.com/13287/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/IIHFBD
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Farmville, VA
- NPI 1841479565
-
- Internal Medicine Physician
- Barberton, OH
- NPI 1023273950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492214400000",
"number": "1841407202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7306 MAPLE PL",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033005",
"telephone_number": "330-615-3205",
"fax_number": "330-615-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7306 MAPLE PL",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033005",
"telephone_number": "703-333-5001",
"fax_number": "703-333-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KHIEM",
"middle_name": "QUOC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2017-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101244421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0101244421",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841407202",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; 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.