Chun Wang Y Tan, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

K3862 Issued in TX

Practice address

1808 Highway 97 E
Jourdanton, TX 78026-1535

Phone

(830) 569-4003

Fax

(830) 569-4001

NPI assigned

Jul 18, 2005

Last updated

Oct 14, 2015By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Cardiovascular Disease (Cardiology)

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
• Methodist Hospital Atascosa Hospital, Jourdanton, TX, CCN 450165
• Frio Regional Hospital Hospital, Pearsall, TX, CCN 451391

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chun.tan.1@1438.direct.athenahealth.com

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

• BHS Physicians Network, Inc

  dba Surgical Oncology Associates of South Texas

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1598958431
  Medicare reassignment Care Compare group NPD
• Tan Heart Clinic

  • Cardiovascular Disease Physician
  • Pleasanton, TX
  • NPI 1427304773
  NPD (past) Authorized official
• BHS Physicians Network, Inc

  dba Orthopedic Performance Institute

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD
• BHS Specialty Network Inc

  dba Heart & Vascular Institute of Texas

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)
• Central Cardiovascular Institute of San Antonio

  • Specialist
  • San Antonio, TX
  • NPI 1184618050
  NPD (past)
• Timberland Medical Group

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1528061157

  Cardiovascular Disease

  NPD (past)

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

• Frio Hospital Association

  dba Frio Regional Swing Bed

  • Critical Access Hospital Clinic/Center
  • Pearsall, TX
  • NPI 1447574819
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., LLP

  dba Methodist Hospital Atascosa

  • General Acute Care Hospital
  • Jourdanton, TX
  • NPI 1376071530
  Care Compare affiliation
• VHS San Antonio Partners LLC

  dba Baptist Medical Center

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1104825785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 HIGHWAY 97 E",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780261535",
            "telephone_number": "830-569-4003",
            "fax_number": "830-569-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 HIGHWAY 97 E",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780261535",
            "telephone_number": "830-569-4003",
            "fax_number": "830-569-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CHUN WANG",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K3862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G9388",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037007401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8028M0",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037007403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana Rodriguez
• Tamara Rodriguez, FNP-C
• San Antonio Eye Center, P.a. (I Wear by SAEC)
• Robert Stevens, M.D.
• Debra Neth Swaim, PT
• Tessa V. Perez, M.D.
• Texas Physical Therapy Specialists - Jourdanton
• Melinda Lou Thompson, COTA
• Timberland Medical Group (Medical Plaza Imaging)
• Ashley Faye Tuttle, PHARMD

• Cardiovascular Disease Physician in Jourdanton, TX
• Providers in Jourdanton, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.