THO VAN TRAN (MD) – Psychiatry Physician, NPI 1104104207

THO VAN TRAN (MD) is a healthcare provider. based in Port arthur, Texas. specializing in PSYCHIATRY, NEUROPSYCHIATRY. They hold the professional credentials MD. They hold a License No. P7220 (TX). The NPI Number for THO VAN TRAN (MD) is 1104104207

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
THO VAN TRAN (MD)
NPI
1104104207
Phone
(713) 449-1668
Address
2501 JIMMY JOHNSON BLVD
Enumeration Date
25 July 2011
Last Update Date
9 August 2013

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
4098391000
Graduation Year
2009 (17 years ago)
PAC ID
7012151186
Group Practice PAC ID
1658268321
Professional Enrollment ID
I20130912000176
Address ID
TX777017719BE2750XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

Provider Addresses for THO VAN TRAN (MD)

  • 2501 JIMMY JOHNSON BLVD

    SUITE 501

    PORT ARTHUR, TX 776402000

    Phone: (713) 449-1668

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20130912000176IPsychiatryTXTBD

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
96372Injection of drug or substance under skin or into muscle8718$0
99214Established patient office or other outpatient visit, 30-39 minutes7427$0
Q3014Telehealth originating site facility fee2414$0
View full utilization report →

Insurance plans in this area (ZIP 77640)

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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: 1658268321View full group profile
NameSpecialtyState
Mental Health CounselorTX
Nurse PractitionerTX
Physician AssistantTX
-CA
Mental Health CounselorTX
Nurse PractitionerTX
Mental Health CounselorTX
P S Y C H I A T R YTX
-TX
Psychiatry, NeurologyTX

Reviews

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Frequently asked questions

Does THO VAN TRAN (MD) have a public NPI I can cite?
Public records show THO VAN TRAN (MD) under NPI 1104104207.
Does the public listing show THO VAN TRAN (MD) as active?
THO VAN TRAN (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret THO VAN TRAN (MD)'s specialty?
The extract shows Psychiatry Physician for THO VAN TRAN (MD). Clinical services aligned with this taxonomy classification.
What city is tied to THO VAN TRAN (MD)?
The directory associates THO VAN TRAN (MD) with Port Arthur, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for THO VAN TRAN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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