Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Truc Ta, MD

Individual provider Vascular Surgery Physician · NPI 1114459831

Dr. Truc Ta, MD is a Vascular Surgery in Portland, Maine. Graduated from Albany Medical College of Union University in 2017, 9 years ago. Practices with Intermountain Medical Group Grand Junction, LLC, a 299-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Colorado.

Years since qualifying
9
Trained at
Albany Medical College of Union University
Licensed in
AZ, CO
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-0111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2270 S Ridgeview Dr Ste 201, Yuma, AZ 85364-8880 — (928) 344-5055

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence DR.0070712 (CO)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 80796 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114459831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address22 Bramhall St, Portland, ME 04102-3134

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Intermountain Medical Group Grand Junction, Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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