Individual provider Active NPI

Susan H. Tran, M.D.

  • Maternal & Fetal Medicine Physician
  • Portland, OR
National Provider Identifier
1982633228
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD151544 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
L466
Portland, OR 97239-3011
Phone
(503) 494-2999
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A83026 CA
Maternal & Fetal Medicine Physician 207VM0101X MD151544 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
L466
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
L466
Portland, OR 97239-3011
Phone (503) 494-2999

Other practice location 1

9300 Valley Childrens Pl
Madera, CA 93636-8761
Phone (559) 353-6700

Other practice location 2

300 N Graham St Ste 100
Portland, OR 97227-1667
Phone (503) 494-2999

Other identifiers 1

IdentifierTypeStateIssuer
00A830260MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20101130000397 OR Practitioner - Obstetrics/GynecologyPractitioner - Medical Genetics and Genomics 6901860766 Reassigns benefits to 4 organizations
I20160121000855 WA Practitioner - Obstetrics/Gynecology 6901860766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Medical Genetics and Genomics
Education
University of Southern California Keck School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

300 N Graham
100 Maternal Fetal Med
Portland, OR 97227-1667
Phone (503) 413-1122

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC Maternal & Fetal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Tuality Medical Group LLC CurrentSince Oct 1, 2020 Accepting new patients
Tuality Medical Group LLC CurrentSince Oct 1, 2020 Accepting new patients
Tuality Healthcare Current Accepting new patients
Legacy Salmon Creek Hospital Obstetrics & Gynecology CurrentSince Apr 5, 2021 Accepting new patients
Salem Health CurrentSince Nov 1, 2012 Accepting new patients
Salem Clinic, PC CurrentSince Jun 22, 2011 Accepting new patients
Salem Health CurrentSince Nov 1, 2012 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 5, 2021 Accepting new patients
Good Shepherd Health Care System Past Accepting new patients

Locations

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

3181 SW Sam Jackson Park Rd
#L466
Portland, OR 97239
Phone (503) 418-4500

300 N Graham St
Ste 100
Portland, OR 97227
Phone (503) 413-1122

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343

939 Oak St SE
Bldg D
Salem, OR 97301

2020 Capitol St NE
Salem, OR 97301
Phone (503) 399-2470

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 10

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1982633228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "L466",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "L466",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 Valley Childrens Pl",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936368761",
            "country_code": "US",
            "telephone_number": "559-353-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Graham St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271667",
            "country_code": "US",
            "telephone_number": "503-494-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "SUSAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A83026",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD151544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A830260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.