Individual provider Active NPI

Huaiyu Tan, MD, PHD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pensacola, FL
National Provider Identifier
1104017391
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME112876 Issued in FL
Practice address
125 Baptist Way Ste 4a
Pensacola, FL 32503-2274
Phone
(850) 437-8670
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME112876 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME112876 FL Primary

Addresses

Primary practice location

125 Baptist Way Ste 4a
Pensacola, FL 32503-2274

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 352-9500

Other identifiers 1

IdentifierTypeStateIssuer
005930000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120724000091 FL Practitioner - Physical Medicine and Rehabilitation 8224294020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1040 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7808

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100

125 Baptist Way
Pensacola, FL 32503-2254

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

  • Baptist Home Health Care Home health agency, Pensacola, FL, CCN 107006
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Jay Hospital Hospital, Jay, FL, CCN 101315
  • Baldwin Health Hospital, Foley, AL, CCN 010083
  • Willowbrooke Court at Azalea Trace Nursing home, Pensacola, FL, CCN 105444

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ME112876FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Jan 1, 2015 Accepting new patients
Baptist Medical Group LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

1040 Gulf Breeze Pkwy
Ste 210
Gulf Breeze, FL 32561
Phone (850) 916-8697

1040 Gulf Breeze Pkwy
Ste 203
Gulf Breeze, FL 32561
Phone (850) 916-8463

1717 N E St
Ste 530
Pensacola, FL 32501
Phone (850) 469-7702

125 Baptist Way
Pensacola, FL 32503
Phone (850) 393-0096

125 Baptist Way
Ste 4A
Pensacola, FL 32503
Phone (448) 227-6360

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

1040 Gulf Breeze Pkwy
Ste 200
Pensacola Beach, FL 32561
Phone (850) 916-8711

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1104017391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-352-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 4A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "850-437-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "HUAIYU",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME112876",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME112876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005930000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.