LILY THANH-VI TRAN PA-C
NPI 1790637015
Physician Assistant in Fort Worth, TX

Active since February 10, 2026PECOS Enrolled
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104(817) 335-5288(817) 338-0927 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lily Thanh-vi Tran Pa-c NPPES

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

LILY THANH-VI TRAN PA-C (NPI 1790637015) is an individual physician assistant in Fort Worth, Texas and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1790637015
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILY THANH-VI TRANCredential: PA-C
Location Address1201 FAIRMOUNT AVEFort Worth, TX 76104-4215
Mailing Address1201 Fairmount AveFort Worth, TX 76104-4215 · (817) 335-5288 · Fax (817) 338-0927
Fax(817) 338-0927
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1790637015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1201 FAIRMOUNT AVE, Fort Worth, TX 76104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lily Thanh-vi Tran Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961972260
PECOS Enrollment IDI20260528001234
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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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.

Internal Medicine (Pulmonary Disease)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Internal Medicine (Critical Care Medicine)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Physician Assistant
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Internal Medicine (Pulmonary Disease)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Internal Medicine (Pulmonary Disease)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Internal Medicine (Pulmonary Disease)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Physician Assistant
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Physician Assistant
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104

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 Lily Tran's NPI number?

The NPI number for Lily Tran is 1790637015. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Lily Tran located?

Lily Tran practices at 1201 Fairmount Ave, Fort Worth, TX 76104. The listed phone number is (817) 335-5288.

What is Lily Tran's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lily Tran enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lily Tran was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.