Individual provider Active NPI

Tu-Van Tran, M.D.

  • Family Medicine Physician
  • Chesterfield, VA
National Provider Identifier
1952582348
Registry record updated Apr 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BB5202786-176 Issued in OH
Practice address
8407 Pullman LN
Chesterfield, VA 23832-2076
Phone
(330) 634-7146
NPI assigned
Nov 14, 2007
Last updated
Apr 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BB5202786-176 OH Primary

Addresses

Primary practice location

8407 Pullman LN
Chesterfield, VA 23832-2076

Mailing address

8407 Pullman LN
Chesterfield, VA 23832-2076
Phone (330) 634-7146

Other identifiers 1

IdentifierTypeStateIssuer
0101248375OtherVALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20110211000516 VA Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - General Surgery 0345420071 Reassigns benefits to 1 organization
I20160715000108 DC Practitioner - Family Practice 0345420071 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BB5202786-176OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Urgent Care PC CurrentSince Jun 1, 2016 Accepting new patients
Centra Medical Group Southside, LLC Family Medicine Past Accepting new patients

Locations

7306 Maple Pl
Annandale, VA 22003
Phone (703) 333-5001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13287/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHFBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492214400000",
    "number": "1952582348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 PULLMAN LN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322076",
            "telephone_number": "330-634-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 PULLMAN LN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322076",
            "telephone_number": "330-634-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TU-VAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2017-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "BB5202786-176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101248375",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.