Individual provider Active NPI

Khiem Quoc Tran, M.D.

  • Family Medicine Physician
  • Annandale, VA
National Provider Identifier
1841407202
Registry record updated Apr 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101244421 Issued in VA
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

Updated by the provider on Apr 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0101244421OtherVALICENSE
1841407202MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623000684 DC Practitioner - Family Practice 5193882660 Reassigns benefits to 1 organization

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
Progressive Urgent Care PCGroup PAC ID 7810286663, 2 clinicians

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 100Reported as group
Quality
71.15
Improvement activities
40
Cost
91.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Urgent Care PC CurrentSince Jun 1, 2016 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

  • FHIR API: https://api.platform.athenahealth.com/13287/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.