Individual provider Active NPI

Maclong Tony Tran, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1972717510
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.118216 Issued in IL
Practice address
7435 W Talcott Ave
Resurrection Medical Center, Emergency Department
Chicago, IL 60631-3707
Phone
(773) 594-7871
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.118216 IL Primary

Addresses

Primary practice location

7435 W Talcott Ave
Resurrection Medical Center, Emergency Department
Chicago, IL 60631-3707

Mailing address

1391 West Blvd
Berkley, MI 48072-2082
Phone (713) 927-7988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081231000186 TX Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 7113019886 Reassigns benefits to 3 organizations
Practice locations: Allen, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118216ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Emergency Medicine Group LLP Emergency Medicine CurrentSince Sep 30, 2015 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Dec 7, 2014 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Emergency Medicine CurrentSince Dec 7, 2014 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972717510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 WEST BLVD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722082",
            "telephone_number": "713-927-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "address_2": "RESURRECTION MEDICAL CENTER, EMERGENCY DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707",
            "telephone_number": "773-594-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MACLONG",
        "middle_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.118216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.