NGUYET-ANH THI TRAN MD
NPI 1447442355
Internal Medicine - Rheumatology in Madison, WI
About Nguyet-anh Thi Tran Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NGUYET-ANH THI TRAN MD (NPI 1447442355) is an individual rheumatology provider in Madison, Wisconsin, licensed in Wisconsin (75456-20) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nguyet-anh Thi Tran Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nguyet-anh Tran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
Janesville, WI 53548
- Reassigned Medicare billing, Wisconsin enrollment
- 1,155 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Clare Hospital - Baraboo
Acute Care Hospitals · Baraboo, WIFort Memorial Hospital
Acute Care Hospitals · Fort Atkinson, WISsm Health St Mary's Hospital - Madison
Acute Care Hospitals · Madison, WISsm Health St Mary's Hospital - Janesville
Acute Care Hospitals · Janesville, WIStoughton Hospital
Critical Access Hospitals · Stoughton, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nguyet-anh Tran's NPI number?
The NPI number for Nguyet-anh Tran is 1447442355. It was assigned to this individual provider in the NPPES registry on August 14, 2007.
Where is Nguyet-anh Tran located?
Nguyet-anh Tran practices at 1821 S Stoughton Rd, Madison, WI 53716. The listed phone number is (608) 260-6000.
What is Nguyet-anh Tran's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Nguyet-anh Tran enrolled in Medicare?
Yes. Nguyet-anh 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.
Which organizations bill Medicare for Nguyet-anh Tran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nguyet-anh Tran reassigns Medicare benefits to 2 organizations: Dean Health Systems, Inc (Madison, WI) and Mercy Health System Corporation (Janesville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nguyet-anh Tran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nguyet-anh Tran accept?
Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Nguyet-anh 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 Nguyet-anh Tran affiliated with any hospitals?
According to CMS data, Nguyet-anh Tran is affiliated with Ssm Health St Clare Hospital - Baraboo, Fort Memorial Hospital, Ssm Health St Mary's Hospital - Madison, Ssm Health St Mary's Hospital - Janesville and Stoughton Hospital.
When was this NPI record last updated?
The NPPES record for Nguyet-anh Tran was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Nguyet-Anh Thi Tran, MD · NPI 1447442355
Rheumatology physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since August 14, 2007.
## Identity
- **NPI:** 1447442355 (Entity type: Individual)
- **Enumerated:** August 14, 2007
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 75456-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1821 S STOUGHTON RD, Madison, WI 53716-2257
- **Phone:** (608) 260-6000 · **Fax:** (608) 260-6855
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dean Health Systems, Inc (NPI 1053358846, Madison, WI); Mercy Health System Corporation (NPI 1093768962, Janesville, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2004
## Record status
- **NPPES last updated:** September 20, 2022
- **Other identifiers:** Medicaid 1447442355 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1447442355) · Data from the CMS NPPES public registry.