Active NPI
Yu Guang Tan, MD
- Urology Physician
- Durham, NC
National Provider Identifier
1093668790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- RTL25-1344
- Practice address
- Dumc 3707
Durham, NC 27710-0001 - Phone
- (919) 358-1915
- NPI assigned
- Feb 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | RTL25-1344 | NC | Primary |
Addresses
Primary practice location
Dumc 3707
Durham, NC 27710-0001
Mailing address
810 9TH St Apt 629
Durham, NC 27705-4320
Phone (919) 358-1915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260331001796 | NC | Order and Referring Only - Urology | 8022593714 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTL25-1344 | NC | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1093668790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 9TH ST APT 629",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054320",
"telephone_number": "919-358-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DUMC 3707",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-358-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "YU GUANG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-20",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "NC",
"license": "RTL25-1344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.