TOAN TRAN DO
NPI 1255892238
Hospitalist in Oak Lawn, IL
About Toan Tran Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TOAN TRAN DO (NPI 1255892238) is an individual hospitalist provider in Oak Lawn, Illinois, licensed in Illinois (036-158271) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Toan Tran Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Sherman Hospital
Acute Care Hospitals · Elgin, ILAdvocate Lutheran General Hospital
Acute Care Hospitals · Park Ridge, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Toan Tran's NPI number?
The NPI number for Toan Tran is 1255892238. It was assigned to this individual provider in the NPPES registry on March 31, 2019.
Where is Toan Tran located?
Toan Tran practices at 4440 W 95th St Ste 1128M, Oak Lawn, IL 60453. The listed phone number is (312) 609-0300.
What is Toan Tran's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Toan Tran enrolled in Medicare?
Yes. Toan Tran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Toan Tran accept?
Health plans from Anthem Blue Cross and Blue Shield list Toan Tran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Toan Tran affiliated with any hospitals?
According to CMS data, Toan Tran is affiliated with Advocate Sherman Hospital and Advocate Lutheran General Hospital.
When was this NPI record last updated?
The NPPES record for Toan Tran was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
