NPIMap

Individual provider Active NPI

Kim Thuy Tran, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1912318205
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10049729 Issued in TX
Practice address
600 S Main St FL 3
Fort Worth, TX 76104-2410
Phone
(817) 882-2590
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q7120 TX
Family Medicine Physician 207Q00000X BP10049729 TX Primary

Addresses

Primary practice location

600 S Main St FL 3
Fort Worth, TX 76104-2410

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 947-5400

Other practice location 1

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-5400

Other names 1

  • Kim Thuy Tran Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktran669112@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160418001400 TX Practitioner - Family Practice 2860613908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

600 S Main St
Fort Worth, TX 76104-2410
Phone (817) 882-2400

6116 Lake Worth Blvd
Suite 100
Lake Worth, TX 76135-3703
Phone (817) 984-3260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10049729TXMDFamily Medicine Physician
Q7120TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Memorial Hermann Medical Group Family Medicine CurrentSince Sep 5, 2017 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Sep 14, 2020 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Healthtexas Provider Network CurrentSince Sep 14, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 1, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 1, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Apr 21, 2024 Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

2740 N State Highway 360
Ste 100
Grand Prairie, TX 75050
Phone 9726068300 ext. 266

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1912318205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-947-5400",
            "fax_number": "214-947-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST FL 3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042410",
            "telephone_number": "817-882-2590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 W Wheatland Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752373460",
            "country_code": "US",
            "telephone_number": "214-947-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KIM",
        "middle_name": "THUY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7120",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10049729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktran669112@direct.sw.org",
            "affiliation": "N",
            "address_1": "2740 N State Highway 360 Ste 100",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750506402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "TRAN",
            "middle_name": "THUY",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.