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JACKY TRAN
NPI 1770267635
Family Medicine in Berwyn, IL

Active since June 12, 2023PECOS Enrolled
3249 OAK PARK AVE, BERWYN, IL 60402(708) 783-9100 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2024, Apr 25, 2024, Jun 12, 2023 (3 updates tracked since 2023).

About Jacky Tran NPPES

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

JACKY TRAN (NPI 1770267635) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (125.084402) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770267635
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACKY TRAN
Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429
Mailing Address3249 Oak Park AveBerwyn, IL 60402-3429
Phone(708) 783-9100
Sole ProprietorNo
Enumeration DateJune 12, 2023
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1770267635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125.084402
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3249 OAK PARK AVE, Berwyn, IL 60402
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacky Tran 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

MRS. DANIELLE GENGO R.D.
Dietitian, Registered
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3077
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
General Practice
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3125
MARIA RAMIREZ
Family Medicine
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-9100
PATRICIA NAUGHTON MD
Obstetrics & Gynecology
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3792
PAUL G FAINE M.D.
Emergency Medicine
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-9100
DR. BHARTI RAIZADA M.D,
Anesthesiology
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-6339
SHEENA REDDY KODAVALURU M.D.
Internal Medicine
3249 OAK PARK AVE, MACNEAL HOSPITAL
BERWYN, IL 60402
Cook County (708) 783-9100
DR. ANGELA DIANIRA ALCARRAZ BEDRILLANA MD
Student in an Organized Health Care Education/Training Program
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-6566

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 Jacky Tran's NPI number?

The NPI number for Jacky Tran is 1770267635. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Jacky Tran located?

Jacky Tran practices at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-9100.

What is Jacky Tran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacky Tran enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacky Tran was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.