NPIMap

Individual provider Active NPI

Virginia M Tjan, M.D.

  • Hematology & Oncology Physician
  • Montrose, CO
National Provider Identifier
1104824630
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
47519 Issued in CO
Practice address
600 S 5TH St
Montrose, CO 81401-5711
Phone
(970) 497-8001
Fax
(970) 240-7793
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036026 CT
Hematology & Oncology Physician 207RH0003X 47519 CO Primary

Addresses

Primary practice location

600 S 5TH St
Montrose, CO 81401-5711

Mailing address

600 S 5TH St
Montrose, CO 81401-5711
Phone (970) 497-8001

Other practice location 1

95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 507-4000

Other identifiers 2

IdentifierTypeStateIssuer
18480373MedicaidCO
001360263MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230606003727 WV Practitioner - Hematology/Oncology 0345235867 Reassigns benefits to 1 organization
I20240209003298 NE Practitioner - Hematology/Oncology 0345235867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

3911 Ave B
Scottsbluff, NE 69361-4617
Phone (308) 630-2100

Hospital & facility affiliations

  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Chadron Hospital Hospital, Chadron, NE, CCN 281341
  • Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
  • Community Hospital Hospital, Torrington, WY, CCN 531307
  • Kimball Health Services Hospital, Kimball, NE, CCN 281305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47519COMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hope Clinic, LLC Hematology & Oncology Current Accepting new patients
The Hope Clinic, LLC Hematology & Oncology CurrentSince Sep 9, 2004 Accepting new patients
Regional West Physicians Clinic CurrentSince Feb 1, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Aug 8, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 1, 2023 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Aug 8, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 1, 2023 Accepting new patients
Chadron Community Hospital Corp. CurrentSince Feb 1, 2026 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

10 N Main St
Ste 210
Bristol, CT 06010
Phone (860) 314-2052

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

218 Undercliff Ter
Princeton, WV 24740
Phone (304) 327-1890

Organizations & group practices 9

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 6

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1104824630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 5TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015711",
            "telephone_number": "970-497-8001",
            "fax_number": "970-240-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 5TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015711",
            "telephone_number": "970-497-8001",
            "fax_number": "970-240-7793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 S Pagosa Blvd",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811478329",
            "country_code": "US",
            "telephone_number": "970-507-4000",
            "fax_number": "970-731-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TJAN",
        "first_name": "VIRGINIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "036026",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "47519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18480373",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001360263",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.