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TONY KHANH TRAN M.D.
NPI 1487832234
Hospitalist in Saint Helena, CA

Active since February 04, 2008PECOS EnrolledAccepts Medicare Assignment
72.51/100
CMS Quality Rating
10 WOODLAND RD, SAINT HELENA, CA 94574(707) 963-6399(707) 967-5915 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2023, Dec 22, 2016, Nov 4, 2016 (3 updates tracked since 2016).

About Tony Khanh Tran M.d. NPPES

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

TONY KHANH TRAN M.D. (NPI 1487832234) is an individual hospitalist provider in Saint Helena, California, licensed in California (A 107897) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and maintains a secondary practice location in Ewa Beach.

NPPES Registry Identity

NPI1487832234
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTONY KHANH TRANCredential: M.D.
Location Address10 WOODLAND RDSaint Helena, CA 94574-9554
Mailing AddressPo Box 7096Stockton, CA 95267-0096 · (209) 956-7725 · Fax (209) 956-7733
Phone(707) 963-6399
Fax(707) 967-5915
Sole ProprietorYes
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2006
Enumeration DateFebruary 4, 2008
Last NPPES UpdateJune 13, 20233 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1487832234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in CA · A 107897✔ Licensed in HI · MD-17247
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
10 WOODLAND RD, Saint Helena, CA 94574
Open in Google Maps ↗

Secondary Practice Location 1

Location 191-2141 Fort Weaver RdEwa Beach, HI 96706-1993 · Phone (808) 691-3000

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

Tony Khanh Tran M.d. 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 ID6608069562
PECOS Enrollment IDI20101023000059, I20131030001349, I20240608000147
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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
295 services288 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94574 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$145.99 typical visit price
range $65.08 – $192.16
Typical copayment $36.49 (range $16.27 – $48.04)
Most-billed visit code 99204
Established Patient
$113.15 typical visit price
range $21.86 – $157.83
Typical copayment $28.28 (range $5.46 – $39.45)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

72.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.65
Cost71.52

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.

DOUGLAS PHILIP TAPPER M.D.
Internal Medicine (Critical Care Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574
Napa County (707) 963-6399
DR. GEOFFREY WILLIAM HORN DO
Radiology (Diagnostic Radiology)
10 WOODLAND RD
SAINT HELENA, CA 94574
Napa County (707) 963-6430
KATHERINE LYNN SALLAS
Perfusionist
10 WOODLAND RD
SAINT HELENA, CA 94574
Napa County (707) 963-3611
DAN CLAY M.D.
Emergency Medicine
10 WOODLAND RD
SAINT HELENA, CA 94574
Napa County (707) 963-6311
NAZIR J. HABIB MD
Internal Medicine (Critical Care Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574
Napa County (707) 963-6399
SEANEEN WHALEY F.N.P
Nurse Practitioner (Family)
10 WOODLAND RD, ICU ROOM 500
SAINT HELENA, CA 94574
Napa County (707) 963-6445
MONA HUISMAN
Occupational Therapist
10 WOODLAND RD
SAINT HELENA, CA 94574
Napa County (707) 963-6596
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Preventive Medicine (Public Health & General Preventive Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574
Napa County (707) 963-2002

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 Tony Tran's NPI number?

The NPI number for Tony Tran is 1487832234. It was assigned to this individual provider in the NPPES registry on February 4, 2008.

Where is Tony Tran located?

Tony Tran practices at 10 Woodland Rd, Saint Helena, CA 94574. The listed phone number is (707) 963-6399.

What is Tony Tran's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Tony Tran enrolled in Medicare?

Yes. Tony 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.

Is Tony Tran affiliated with any hospitals?

According to CMS data, Tony Tran is affiliated with Hilo Medical Center, Herrin Hospital and Memorial Hospital Of Carbondale.

When was this NPI record last updated?

The NPPES record for Tony Tran was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.