Individual provider Active NPI

Tam Tran, NP

  • Acute Care Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1982227005
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN-2876 Issued in HI
Practice address
1441 Kapiolani Blvd Ste 1902
Honolulu, HI 96814-4409
Phone
(808) 885-4401
NPI assigned
May 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN-2876 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 1902
Honolulu, HI 96814-4409

Mailing address

1441 Kapiolani Blvd
Ste 1902
Honolulu, HI 96814-4409
Phone (781) 888-0544

Other identifiers 1

IdentifierTypeStateIssuer
APRN-2876OtherHIHAWAII NP LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214001892 HI Practitioner - Nurse Practitioner 0749692804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein Clinics of Hawaii, LLCGroup PAC ID 9436395142, 5 clinicians

Practice addresses (Care Compare)

1441 Kapiolani Blvd
Suite 1902
Honolulu, HI 96814-4409
Phone (985) 892-2950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Clinics of Hawaii LLC CurrentSince Nov 9, 2020 Accepting new patients
Bailey Vein Institute, LLC PastSince Mar 24, 2011 Accepting new patients

Locations

670 Ponahawai St
Ste 220
Hilo, HI 96720
Phone (808) 871-8346

1441 Kapiolani Blvd
Ste 1902
Honolulu, HI 96814
Phone (808) 885-4401

65-1158 Mamalahoa Hwy
Ste 16
Kamuela, HI 96743
Phone (808) 885-4401

1001 Kamokila Blvd
Ste 226
Kapolei, HI 96707
Phone (808) 885-4401

3214 Akahi St
Lihue, HI 96766
Phone (808) 214-5715

140 N Market St
Wailuku, HI 96793
Phone (808) 214-5715

140 N Market St
Ste 103
Wailuku, HI 96793

4080 Lonesome Rd
Ste A
Mandeville, LA 70448
Phone (985) 892-2950

Organizations & group practices 2

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1982227005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "STE 1902",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144409",
            "telephone_number": "781-888-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1902",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144409",
            "telephone_number": "808-885-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "HI",
            "license": "APRN-2876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII NP LICENSE NUMBER",
            "identifier": "APRN-2876",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.