Individual provider Active NPI

Vivian Mai-Tran

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1932527231
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
62459 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-1010
NPI assigned
Apr 3, 2014
Last updated
Jun 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 62459 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

1000 10TH Ave # 4B25
New York, NY 10019-1147

Other practice location 1

4802 10th Avenue
Maimonides Medical Center
Brooklyn, NY 11219
Phone (718) 283-7965

Other practice location 2

1000 10th Ave
New York, NY 10019-1147
Phone (212) 636-3379

Other names 1

  • Tuong-VI Mai-Tran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 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
I20200701000340 TX Practitioner - Diagnostic Radiology 1759627961 Reassigns benefits to 2 organizations
I20201019001397 OH Practitioner - Diagnostic Radiology 1759627961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Imaging Specialists PAGroup PAC ID 7517853351, 44 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

10970 Shadow Creek Pkwy
Suite 190
Pearland, TX 77584-0117
Phone (866) 257-6864

1250 8TH Ave
Suite 130
Fort Worth, TX 76104-4156
Phone (866) 257-6864

12606 W Houston Ctr
330 Solis Mammography
Houston, TX 77082-2789
Phone (866) 257-6864

1331 W Grand Pkwy N
Katy, TX 77493-2711
Phone (866) 257-6864

1515 N Town E Blvd
141 Solis Mammography
Mesquite, TX 75150-4196
Phone (866) 257-6864

17030 Red Oak Dr
Houston, TX 77090-2602
Phone (866) 257-6864

17080 Red Oak Dr
Houston, TX 77090-2602
Phone (866) 717-2551

1930 Pearland Pkwy
Suite 130
Pearland, TX 77581-5140
Phone (866) 717-2551

19355 Katy Fwy
Suite 400
Houston, TX 77094-1007
Phone (866) 717-2551

20042 Eva St
104 Solis Mammography
Montgomery, TX 77356-2017
Phone (866) 257-6864

21216 NW Fwy 220
Solis Mammography
Cypress, TX 77429-4778
Phone (866) 257-6864

22999 Hwy 59 N 240
Solis Mammography
Kingwood, TX 77339-4440
Phone (866) 267-6864

2415 W Alabama St
214 Solis Mammography
Houston, TX 77098-2263
Phone (866) 717-2551

2726 Mercantile Dr
Suite 202
Rosenberg, TX 77471-6194
Phone (866) 717-2551

3700 Vision Dr
Suite 120
Fort Worth, TX 76109-1183
Phone (866) 717-2551

3801 Vista Rd
Suite 200
Pasadena, TX 77504-2139
Phone (866) 257-6864

400 W Medical Ctr Blvd
Webster, TX 77598-4223
Phone (866) 257-6864

4710 NE Stallings Dr
Nacogdoches, TX 75965-1615
Phone (866) 717-2551

5575 Warren Pkwy
220 Solis Mammography
Frisco, TX 75034-4092
Phone (866) 257-6864

6720 Bertner Ave
MC2 270
Houston, TX 77030-2604
Phone (281) 466-4401

6750 N Macarthur Blvd
Suite 153
Irving, TX 75039-2833
Phone (866) 257-6864

7405 FM 1960 Rd E
204 Solis Mammography
Humble, TX 77346-3286
Phone (866) 717-2551

8731 Katy Fwy
Suite 100
Houston, TX 77024-1703
Phone (866) 257-6864

9129 Eagle Dr
Suite 300
Mont Belvieu, TX 77523-5627
Phone (866) 717-2551

9818 Fry Rd
Suite 100
Cypress, TX 77433-5369
Phone (866) 717-2551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Imaging Specialists PA Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Rose Imaging Specialists, PA Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Columbus Mammography Center, Inc. CurrentSince Sep 21, 2020 Accepting new patients
Rose Imaging Specialists, PA Diagnostic Radiology PastSince Oct 6, 2019 Accepting new patients

Locations

974 Bethel Rd
Ste F
Columbus, OH 43214
Phone (614) 459-7880

15601 Dallas Pkwy
Ste 300
Addison, TX 75001
Phone (469) 398-4100

5575 Warren Pkwy
Ste 220
Frisco, TX 75034
Phone (214) 618-3686

1250 8th Ave
Ste 130
Ft Worth, TX 76104
Phone (817) 886-0880

17030 Red Oak Dr
Houston, TX 77090
Phone (281) 580-6171

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

6750 N MacArthur Blvd
Ste 153
Irving, TX 75039
Phone (469) 677-3174

10970 Shadow Creek Pkwy
Ste 190
Pearland, TX 77584
Phone (713) 770-7767

6807 Emmett F Lowry Expy
Ste 308
Texas City, TX 77591
Phone (409) 934-8687

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1932527231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE # 4B25",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 10th Avenue",
            "address_2": "Maimonides Medical Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11219",
            "country_code": "US",
            "telephone_number": "718-283-7965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191147",
            "country_code": "US",
            "telephone_number": "212-636-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI-TRAN",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "62459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUONG-VI",
            "last_name": "MAI-TRAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.