Individual provider Active NPI

Tri H Tran, MD

  • Anesthesiology Physician
  • Council Bluffs, IA
National Provider Identifier
1881667350
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
33293 Issued in IA
Practice address
933 E Pierce St
Council Bluffs, IA 51503-4626
Phone
(712) 322-5565
Fax
(712) 322-5566
NPI assigned
Feb 7, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 33293 IA Primary

Addresses

Primary practice location

933 E Pierce St
Council Bluffs, IA 51503-4626

Mailing address

25 Main PL
Suite 425
Council Bluffs, IA 51503-0792
Phone (712) 322-5565

Other identifiers 1

IdentifierTypeStateIssuer
3508283MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100914000728 IA Practitioner - Anesthesiology 7911022983 Reassigns benefits to 2 organizations
I20111115000729 NE Practitioner - Anesthesiology 7911022983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Physician Enterprise-Anesthesia LLCGroup PAC ID 2264794569, shared by 2 NPIs, 224 clinicians

Practice addresses (Care Compare)

6901 N 72ND St
CHI Health Immanuel
Omaha, NE 68122-1709
Phone (402) 717-4866

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (402) 717-4866

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20789NEMDLicensed Practical Nurse
33293IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Anesthesiology CurrentSince Oct 15, 2024 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Anesthesiology CurrentSince Oct 15, 2024 Accepting new patients
Jennie Edmundson Memorial Hospital CurrentSince Jan 1, 2024 Accepting new patients

Locations

201 Ridge St
Ste 102
Council Bluffs, IA 51503
Phone (712) 396-4359

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

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

Hospital & facility affiliations 3

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1881667350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN PL",
            "address_2": "SUITE 425",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030792",
            "telephone_number": "712-322-5565",
            "fax_number": "712-322-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E PIERCE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034626",
            "telephone_number": "712-322-5565",
            "fax_number": "712-322-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TRI",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "33293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3508283",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.