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MAGGIE PHUONG TRAN M.D.
NPI 1497927941
Pediatrics in Louisville, KY

Active since March 25, 2008PECOS Enrolled
5109 NEW CUT RD, LOUISVILLE, KY 40214(502) 361-1197(502) 361-0090 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Maggie Phuong Tran M.d. NPPES

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

MAGGIE PHUONG TRAN M.D. (NPI 1497927941) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (TP315) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497927941
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMAGGIE PHUONG TRANCredential: M.D.
Location Address5109 NEW CUT RDLouisville, KY 40214-2745
Mailing AddressPo Box 766351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 361-1197
Fax(502) 361-0090
Sole ProprietorNo
Enumeration DateMarch 25, 2008
Last NPPES UpdateJuly 21, 2016
✔ NPI 1497927941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · TP315
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5109 NEW CUT RD, Louisville, KY 40214
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Other Names 1

Former Name (1)Dong- Phuong Thi Tran M.d.

Other Identifiers 1

Medicaid65932329KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maggie Phuong Tran M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Maggie Tran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
4.4 mi
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1245312503 (502) 636-3164
Norton Children's Medical Group, LLC
15 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40214 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCELLA DENISE PEREZ M.D.
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
MARK A BROCKMAN MD
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
JOHN B LARSON MD
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
LARSON, BROUGH, AND BROCKMAN PSC
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
DAVID K BROUGH MD
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197

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 Maggie Tran's NPI number?

The NPI number for Maggie Tran is 1497927941. It was assigned to this individual provider in the NPPES registry on March 25, 2008. The provider is also known as Dong- Phuong Thi Tran M.D..

Where is Maggie Tran located?

Maggie Tran practices at 5109 New Cut Rd, Louisville, KY 40214. The listed phone number is (502) 361-1197.

What is Maggie Tran's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Maggie Tran enrolled in Medicare?

Yes. Maggie Tran is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maggie Tran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maggie Tran reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Maggie Tran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maggie Tran accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Maggie 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.

When was this NPI record last updated?

The NPPES record for Maggie Tran was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.