MARY THERESA TRAN
NPI 1376368688
Physician Assistant - Surgical in Hartford, CT

Active since November 21, 2024PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST, HARTFORD, CT 06106(860) 545-5000 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Theresa Tran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY THERESA TRAN (NPI 1376368688) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (6933) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376368688
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARY THERESA TRAN
Location Address80 SEYMOUR STHartford, CT 06106-3315
Mailing Address25 Birdsey AveMiddletown, CT 06457-4301 · (860) 501-5557
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 21, 2024
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1376368688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 6933
Also ListedPhysician AssistantTaxonomy 363A00000X · License 6933 (CT)
80 SEYMOUR ST, Hartford, CT 06106

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

Mary Theresa Tran 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.

PECOS PAC ID2860921822
PECOS Enrollment IDI20250121003151
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Physician Assistant (Medical)
80 SEYMOUR ST
HARTFORD, CT 06106
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Nurse Practitioner (Critical Care Medicine)
80 SEYMOUR ST
HARTFORD, CT 06106
Physician Assistant
80 SEYMOUR ST
HARTFORD, CT 06106
Physician Assistant (Medical)
80 SEYMOUR ST
HARTFORD, CT 06106
Anesthesiology
80 SEYMOUR ST, ANESTHESIA DEPT
HARTFORD, CT 06106
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106

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 Mary Tran's NPI number?

The NPI number for Mary Tran is 1376368688. It was assigned to this individual provider in the NPPES registry on November 21, 2024.

Where is Mary Tran located?

Mary Tran practices at 80 Seymour St, Hartford, CT 06106. The listed phone number is (860) 545-5000.

What is Mary Tran's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mary Tran enrolled in Medicare?

Yes. Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Tran was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.