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

Q: 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.

Q: What is Lily Tran's specialty?

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

Q: 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 9 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.

Active since February 10, 2026PECOS EnrolledAccepts Medicare Assignment

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: November 08, 2026.

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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

Phone(817) 335-5288

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX.Insurance ›

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

Lily Thanh-vi Tran Pa-c 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 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.

DR. HUY XUAN DUONG DO

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