Individual provider Active NPI

Hai Tuan Tran, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warm Springs, OR
National Provider Identifier
1982690954
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4624 Issued in CA
Practice address
1270 Kot-Num
Warm Springs, OR 97761
Phone
(541) 553-1196
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4624 CA Primary

Addresses

Primary practice location

1270 Kot-Num
Warm Springs, OR 97761

Mailing address

1270 Kot-Num Rd
Warm Springs, OR 97761
Phone (541) 553-1196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050729001029 CA Practitioner - Podiatry 7517995616 Practice locations: San Diego, CA
I20170104000586 TX Practitioner - Podiatry 7517995616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4624CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warm Springs Health and Wellness DHHS IHS Warm Springs Service Unit CurrentSince Nov 5, 2016 Accepting new patients
West Beverly Podiatry Group, Inc Past Accepting new patients
James F Eggold PastSince Oct 1, 2015 Accepting new patients
Helen Kuo DPM Inc Foot & Ankle Surgery PastSince Jul 15, 2013 Accepting new patients
West Beverly Podiatry Group, Inc. Foot & Ankle Surgery Past Accepting new patients
Convalescent Podiatry Care PastSince Oct 1, 2015 Accepting new patients

Organizations & group practices 6

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1982690954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 KOT-NUM RD",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "97761",
            "telephone_number": "541-553-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 KOT-NUM",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "97761",
            "telephone_number": "541-553-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HAI",
        "middle_name": "TUAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warm Springs, OR

Sources for this page

Verify at the official NPI Registry.