NPIMap

Individual provider Active NPI

Andy V. Tran, M.D.

  • Hospitalist Physician
  • Bastrop, LA
National Provider Identifier
1982890836
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
023532 Issued in LA
Practice address
365 W Hickory Ave
Bastrop, LA 71220-4441
Phone
(318) 283-5999
Fax
(318) 283-7998
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23532 LA
Hospitalist Physician 208M00000X 023532 LA Primary

Addresses

Primary practice location

365 W Hickory Ave
Bastrop, LA 71220-4441

Mailing address

365 W Hickory Ave
Bastrop, LA 71220-4441
Phone (318) 283-5999

Other identifiers 1

IdentifierTypeStateIssuer
1495794MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000591 LA Practitioner - Family Practice 7517935935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawkeye Medical, LLCGroup PAC ID 9032254685, 33 clinicians

Practice addresses (Care Compare)

4231 Hwy 1192
Marksville, LA 71351-4711
Phone (318) 240-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23532LAMDFamily Medicine Physician
023532LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawkeye Medical, LLC Hospitalist CurrentSince Mar 1, 2014 Accepting new patients
CLHG-Avoyelles LLC Family Medicine CurrentSince Aug 7, 2020 Accepting new patients
CLHG-Avoyelles LLC Hospitalist Current Accepting new patients
CLHG-Avoyelles LLC Family Medicine CurrentSince Aug 7, 2020 Accepting new patients
CLHG-Avoyelles, LLC Past Accepting new patients
Family Medical Clinic of Mer Rouge Family Medicine Past Accepting new patients

Locations

4239 Highway 1192
Ste 100
Marksville, LA 71351
Phone (318) 253-0866

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

Interoperability endpoints

  • Direct secure messaging: avhatran@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/16696/brand/5/csg/1/fhir/r4

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1982890836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W HICKORY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204441",
            "telephone_number": "318-283-5999",
            "fax_number": "318-283-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W HICKORY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204441",
            "telephone_number": "318-283-5999",
            "fax_number": "318-283-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANDY",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "23532",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "023532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1495794",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.