Active NPI
Maxwell Tran, MD
- Radiation Oncology Physician
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME183458
- Practice address
- 1400 N US Highway 441 Ste 540
Lady Lake, FL 32159-8987 - Phone
- (352) 753-9777
- Fax
- (866) 446-1888
- NPI assigned
- Apr 14, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME183458 | FL | Primary |
Addresses
Primary practice location
1400 N US Highway 441 Ste 540
Lady Lake, FL 32159-8987
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132234600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Baylor College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Jackson Pike
Gallipolis, OH 45631-1539
Phone (740) 446-5474
Hospital & facility affiliations
- Holzer Medical Center
- Holzer Medical Center Jackson
- Rivers Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- Quality
- 68.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29014 | MN | MD | Social Worker |
| 35.150641 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Path LLC | Current | Accepting new patients | |
| Holzer Clinic, LLC | Current | Accepting new patients | |
| Holzer Hospital Foundation | Past | Accepting new patients |
Locations
170 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5129
90 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5131
100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050
Interoperability endpoints
- maxwell.tran.1@17389.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Gallipolis, OH
- NPI 1508817248
-
- Anatomic Pathology & Clinical Pathology Physician
- Gallipolis, OH
- NPI 1942525563
-
- Community/Retail Pharmacy
- Jackson, OH
- NPI 1629109780
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Gallipolis, OH
- NPI 1942256888
-
- Critical Access Hospital
- Jackson, OH
- NPI 1669410940
-
- General Acute Care Hospital
- PT Pleasant, WV
- NPI 1598975120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1922595057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N US HIGHWAY 441 STE 540",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321598987",
"telephone_number": "352-753-9777",
"fax_number": "866-446-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MAXWELL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-14",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME183458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132234600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.