Individual provider Active NPI

Jesse Tran, D.O.

  • Emergency Medicine Physician
  • Livonia, MI
National Provider Identifier
1922494905
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0542187 Issued in KS
Practice address
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone
(734) 655-4800
Fax
(734) 655-8430
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0542187 KS Primary
Emergency Medicine Physician 207P00000X R6924 TX

Addresses

Primary practice location

36475 Five Mile Rd
Livonia, MI 48154-1971

Mailing address

929 N St Francis St
Wichita, KS 67214-3821

Other identifiers 1

IdentifierTypeStateIssuer
1922494905MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, TX2 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
I20190618000693 KS Practitioner - Emergency Medicine 6901115740 Reassigns benefits to 3 organizations
I20230208000249 TX Practitioner - Emergency Medicine 6901115740 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Rock Regional Hospital LLCGroup PAC ID 8325386634, 21 clinicians
Pecos County Memorial Hospital DistrictGroup PAC ID 3173977477, shared by 7 NPIs, 32 clinicians
CahrmcGroup PAC ID 6608916879, 32 clinicians
Cep America - Kansas LLCGroup PAC ID 3971814286, 59 clinicians

Practice addresses (Care Compare)

3251 N Rock Rd
Derby, KS 67037-3850
Phone (316) 425-2400

387 W Ih
Suite 10
Fort Stockton, TX 79735
Phone (432) 336-2058

4500 E Sam Houston Pkwy S
CHI St Lukes Health Patients Medi
Pasadena, TX 77505-3959
Phone (713) 948-7000

600 S Austin Rd
Eagle Lake, TX 77434-3202
Phone (979) 234-5571

929 N Saint Francis St
Via Christi Hospital St Francis
Wichita, KS 67214-3821
Phone (316) 268-5000

Hospital & facility affiliations

  • Pecos County Memorial Hospital Hospital, Fort Stockton, TX, CCN 451389
  • Rock Regional Hospital, LLC Hospital, Derby, KS, CCN 170204
  • Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200
  • St Luke'S Sugar Land Hospital Hospital, Sugar Land, TX, CCN 670053
  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0542187KSMDEmergency Medicine Physician
R6924TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Jun 10, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 15, 2022 Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 15, 2022 Accepting new patients
Hutchinson Regional Medical Center, Inc. Emergency Medicine CurrentSince Feb 14, 2025 Accepting new patients
Cep America - Kansas LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Pecos County Memorial Hospital District CurrentSince Aug 1, 2025 Accepting new patients
Rock Regional Hospital, LLC CurrentSince Sep 2, 2025 Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Jun 10, 2019 Accepting new patients
Pecos County Memorial Hospital District Current Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3251 N Rock Rd
Derby, KS 67037
Phone (316) 425-2400

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

Interoperability endpoints

  • Direct secure messaging: jtran391370@direct.stlukeshealth.org

Organizations & group practices 13

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.

View all 13

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1922494905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N ST FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-4800",
            "fax_number": "734-655-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JESSE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0542187",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R6924",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922494905",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.