MISS TINA THANH THUY TRAN (PA-C) – Medical Physician Assistant, NPI 1205467578

MISS TINA THANH THUY TRAN (PA-C) is a healthcare provider. based in Kansas city, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2021028686 (MO). The NPI Number for MISS TINA THANH THUY TRAN (PA-C) is 1205467578

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MISS TINA THANH THUY TRAN (PA-C)
NPI
1205467578
Phone
(316) 992-3487
Address
5100 GRAND AVE
Enumeration Date
27 January 2020
Last Update Date
13 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8165252840
Graduation Year
2021 (5 years ago)
PAC ID
5294125027
Group Practice PAC ID
8820370422
Professional Enrollment ID
I20240910002926
Address ID
KS660711850PA505XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MISS TINA THANH THUY TRAN (PA-C)

  • 5100 GRAND AVE

    KANSAS CITY, MO 641122739

    Phone: (316) 992-3487

    Type: Location

  • 19101 E VALLEY VIEW PKWY

    INDEPENDENCE, MO 640556904

    Phone: (816) 254-9292

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $280.

Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Organogenesis Inc. ($127).

Total Amount

$280

General + Research + Ownership

Payments

13

Total payment records

General Amount

$280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211209000802IPhysician AssistantMOTBD
I20240910002926IPhysician AssistantKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11042Removal of skin and tissue, 20.0 sq cm or less2815$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2416$0
View full utilization report →

Insurance plans in this area (ZIP 64112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820370422View full group profile
NameSpecialtyState
Orthopedic SurgeryKS
Orthopedic SurgeryMO
Physician AssistantMO
Orthopedic SurgeryMO
Orthopedic SurgeryMO
Orthopedic SurgeryMO
General SurgeryMO
Physician AssistantMO
Nurse PractitionerMO
Family Practice, Osteopathic Manipulative MedicineMI

Reviews

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Frequently asked questions

What NPI should I save for MISS TINA THANH THUY TRAN (PA-C)?
Save NPI 1205467578 if you need a stable reference for MISS TINA THANH THUY TRAN (PA-C).
Is MISS TINA THANH THUY TRAN (PA-C)'s NPI currently valid?
The extract we use shows MISS TINA THANH THUY TRAN (PA-C) as active.
What does MISS TINA THANH THUY TRAN (PA-C) treat or focus on?
Patients typically see MISS TINA THANH THUY TRAN (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MISS TINA THANH THUY TRAN (PA-C)'s primary listing?
We display Kansas City, Missouri because that is what the record indicates for MISS TINA THANH THUY TRAN (PA-C).
What if Kansas City, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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