Active NPI
Jesse Tran, D.O.
- Emergency Medicine Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0542187
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922494905 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Pecos County Memorial Hospital District
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
- Rock Regional Hospital, LLC
- Via Christi Hospital Wichita St Teresa, Inc
- St Luke'S Sugar Land Hospital
- Ascension Via Christi Hospitals Wichita, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0542187 | KS | MD | Emergency Medicine Physician |
| R6924 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current | Accepting new patients |
| Cep America - Kansas LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Emergency Medicine | Current | 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 | Current | Accepting new patients | |
| Rock Regional Hospital, LLC | Current | Accepting new patients | |
| Cep America - Kansas LLC | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1659768125
-
- Emergency Medicine Physician
- Pasadena, TX
- NPI 1801458708
-
- Multi-Specialty Clinic/Center
- Derby, KS
- NPI 1598641219
-
- Critical Access Hospital
- Eagle Lake, TX
- NPI 1205164928
-
- Emergency Medicine Physician
- El Paso, TX
- NPI 1134761331
-
- Hospitalist Physician
- Hutchinson, KS
- NPI 1972605285
Emergency Medicine
-
- Critical Access Hospital
- Fort Stockton, TX
- NPI 1073200309
-
- Family Medicine Physician
- Fort Stockton, TX
- NPI 1386400232
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1023405503
-
- Emergency Medicine Physician
- Wellington, KS
- NPI 1932704608
-
- Emergency Medicine Physician
- El Paso, TX
- NPI 1669014817
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1023334950
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1154314789
-
- Critical Access Hospital
- Fort Stockton, TX
- NPI 1073200309
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1659559573
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.