Individual provider Active NPI

Hai Anthony Tran, M.D.

  • Radiation Oncology Physician
  • Texarkana, TX
National Provider Identifier
1992794341
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
J5500 Issued in TX
Practice address
5510 Cowhorn Creek Rd
Texarkana, TX 75503-9101
Phone
(903) 831-4673
Fax
(903) 831-4672
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X J5500 TX Primary

Addresses

Primary practice location

5510 Cowhorn Creek Rd
Texarkana, TX 75503-9101

Mailing address

5510 Cowhorn Creek Rd
Texarkana, TX 75503-9101
Phone (903) 831-4673

Other identifiers 5

IdentifierTypeStateIssuer
100222760AMedicaidOK
96943OtherARBCBS
125767001MedicaidAR
90303900040OtherARQUAL CHOICE OF ARKANSAS
034993801MedicaidTX

Other names 1

  • Dr. H. Anthony Tran Professional name

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
I20101101000409 TX Practitioner - Radiation Oncology 3173717469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Wisconsin School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5510 Cowhorn Creek Rd
Texarkana, TX 75503-9101
Phone (903) 831-4673

Hospital & facility affiliations

  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5500TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H. Anthony Tran, M.D.,P.a. Radiation Oncology CurrentSince Mar 25, 1994 Accepting new patients
Collom & Carney Clinic Association PastSince Mar 25, 1994 Accepting new patients

Locations

5510 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 831-4673

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1992794341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039101",
            "telephone_number": "903-831-4673",
            "fax_number": "903-831-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039101",
            "telephone_number": "903-831-4673",
            "fax_number": "903-831-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HAI",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "J5500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100222760A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96943",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125767001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE OF ARKANSAS",
            "identifier": "90303900040",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034993801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H.",
            "last_name": "TRAN",
            "middle_name": "ANTHONY",
            "prefix": "DR.",
            "credential": "M.D., P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.