Active NPI
Conny H. Tran, MD
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME163413
- Practice address
- 11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206 - Phone
- (239) 208-2212
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 72939 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | ME163413 | FL | Primary |
Addresses
Primary practice location
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Mailing address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Other practice location 1
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 999-9999
Other practice location 2
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 296-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL, GA, SC, AZ, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Drexel University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000
677 Cathedral Dr
Suite 200
Rapid City, SD 57701-7389
Phone (605) 755-4150
Hospital & facility affiliations
- Monument Health Rapid City Hospital
- St Joseph'S Hospital
- Monument Health Spearfish Hospital
- Monument Health Sturgis Hospital
- Fall River Hospital - Cah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72939 | AZ | MD | Neurology Physician |
| ME163413 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients | |
| Upson County Hospital Inc | Neurology | Current | Accepting new patients |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Upson County Hospital Inc | Current | Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Tucson Physician Group Holdings, LLC | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients |
Locations
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
Interoperability endpoints
- conny.tran.1@600.direct.athenahealth.com
- ctran.155856@regionalhealth.sdhealthlink.net
- https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
- ctran91601@direct.phhs.org
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Long Term Care Hospital
- Lehigh Acres, FL
- NPI 1932595659
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
-
- Critical Access Hospital
- Franklin, NH
- NPI 1700960895
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
- Family Medicine Physician
- Wall, SD
- NPI 1265811285
-
- Rural Health Clinic/Center
- Thomaston, GA
- NPI 1700392438
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hot Springs, SD
- NPI 1679544555
-
- General Acute Care Hospital
- Spearfish, SD
- NPI 1033183942
-
- Critical Access Hospital
- Sturgis, SD
- NPI 1083681712
-
- General Acute Care Hospital
- Spearfish, SD
- NPI 1548648264
-
- General Acute Care Hospital
- Spearfish, SD
- NPI 1720491137
-
- Critical Access Hospital
- Sturgis, SD
- NPI 1760998983
-
- Rehabilitation Hospital Unit
- Belle Fourche, SD
- NPI 1972779957
-
- Psychiatric Hospital Unit
- Rapid City, SD
- NPI 1437531571
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1376922591
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1902365745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 METRO PKWY STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 METRO PKWY STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661206",
"telephone_number": "239-208-2212"
}
],
"practiceLocations": [
{
"address_1": "5323 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753907201",
"country_code": "US",
"telephone_number": "214-999-9999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 N Wilmot Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857112602",
"country_code": "US",
"telephone_number": "520-296-3211",
"fax_number": "520-873-3921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "CONNY",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2024-07-24",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "72939",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME163413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.