Theodore Conrad Ang Tan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C10010131 Issued in DE

Practice address

810 New Burton Rd
Suite 3
Dover, DE 19904-5488

Phone

(302) 730-0554

Fax

(302) 730-1175

NPI assigned

Jul 16, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware Primary Care LLCGroup PAC ID 3870503469, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christianacare Homehealth Home health agency, Camden, DE, CCN 087301
• Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: delawareprimarycare.theodoretan@120158.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delaware Primary Care LLC

  • Internal Medicine Physician
  • Dover, DE
  • NPI 1104852300

  DE, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Bayhealth Medical Center, Inc

  • Colon & Rectal Surgery Physician
  • Dover, DE
  • NPI 1285809509

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434

  Hospital

  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135

  Hospital

  Care Compare affiliation
• Bbkshh, LLC

  • Home Health Agency
  • Dover, DE
  • NPI 1689100620
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038

  Hospital

  Care Compare affiliation
• Christiana Care Home Health and Community Services, Inc.

  • Home Health Agency
  • Smyrna, DE
  • NPI 1841293438
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1003046624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NEW BURTON RD",
            "address_2": "SUITE 3",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199045488",
            "telephone_number": "302-730-0554",
            "fax_number": "302-730-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NEW BURTON RD",
            "address_2": "SUITE 3",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199045488",
            "telephone_number": "302-730-0554",
            "fax_number": "302-730-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "THEODORE CONRAD",
        "middle_name": "ANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10010131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Talavera
• Preeti Talreja, OTRL
• Tamesis Rheumatology Medicine of Delaware, P.a
• Kelly Tamman, PTA
• Andrew Arthur Tan, PT
• Tanisha J Therapy Group, LLC
• Harsha Tankala, MD
• Jennifer Tarburton, RD, LDN
• Ma Czarina Targa, PT
• Shannon Marie Tarolli, MA

• All providers in Dover, DE
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.