Zachary Tan, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD.MD.61416339 Issued in WA

Practice address

1812 E Edison Ave
Sunnyside, WA 98944

Phone

(906) 748-3751

NPI assigned

Jul 3, 2017

Reactivated

Jul 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Zetan Du Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Orthopedic Surgery

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunnyside Community Hospital AssociationGroup PAC ID 1658280896, 57 clinicians

SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Home Health Home health agency, Yakima, WA, CCN 507115
• Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037
• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330
• Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ztan@hrosm.gwaydirect.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.

• Sunnyside Community Hospital Association

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814

  WA

  Medicare reassignment Care Compare group NPD
• SHC Medical Center Toppenish

  • General Acute Care Hospital
  • Toppenish, WA
  • NPI 1851817308

  WA

  Medicare reassignment Care Compare group
• Grant County Public Hospital District 1

  • Rural Health Clinic/Center
  • Moses Lake, WA
  • NPI 1619086766

  WA

  Medicare reassignment NPD
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637

  WA

  Medicare reassignment NPD (past)
• Grant County Public Hospital District 1

  • Rural Health Clinic/Center
  • Moses Lake, WA
  • NPI 1609112739
  NPD
• Grant County Public Hospital District 1

  • General Acute Care Hospital
  • Moses Lake, WA
  • NPI 1902818883
  NPD
• SHC Medical Center Toppenish

  • Rural Health Clinic/Center
  • Zillah, WA
  • NPI 1659809457
  NPD
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184
  NPD
• Sunnyside Community Hospital Association

  • Clinic/Center
  • Yakima, WA
  • NPI 1609395060
  NPD

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

• Mountainview Home Health, LLC

  • Home Health Agency
  • Yakima, WA
  • NPI 1578583399
  Care Compare affiliation
• SHC Medical Center Toppenish

  • General Acute Care Hospital
  • Toppenish, WA
  • NPI 1851817308

  Hospital

  Care Compare affiliation
• Sunnyside Community Hospital Association

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814

  Hospital

  Care Compare affiliation
• Yakima Valley Memorial Hospital Association

  • General Acute Care Hospital
  • Yakima, WA
  • NPI 1053373480

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1013438779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E EDISON AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "98944",
            "telephone_number": "906-748-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Tacoma Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "WA",
            "postal_code": "989442263",
            "country_code": "US",
            "telephone_number": "509-837-1500",
            "fax_number": "509-837-4908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Toppenish",
            "state": "WA",
            "postal_code": "989481616",
            "country_code": "US",
            "telephone_number": "509-865-3105",
            "fax_number": "509-865-1519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "deactivation_date": "2018-05-07",
        "reactivation_date": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD.MD.61416339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2250733",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZETAN",
            "last_name": "DU",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunnyside Vision PLLC
• Sunrise Counseling and Counseling and Consulting
• Swofford & Halma Clinic, Inc. P.S.
• David J. Swofford, D.O.
• Karen Tade, LDO
• The Valley Alcohol Council
• The Valley Alcohol Council, Inc
• Thompson DMD PLLC
• Thompson.Ferguson.Steinhart.James.Leavitt,PLLC
• Thornock Chiropractic, PLLC

• All providers in Sunnyside, WA
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.