Individual provider Active NPI

George Tan, M.D.

  • Gastroenterology Physician
  • North Las Vegas, NV
National Provider Identifier
1205071677
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20694 Issued in NV
Practice address
5119 Camino Al Norte
North Las Vegas, NV 89031-2373
Phone
(702) 625-8989
Fax
(702) 331-3115
NPI assigned
Dec 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A103328 CA
Gastroenterology Physician 207RG0100X 20694 NV Primary

Addresses

Primary practice location

5119 Camino Al Norte
North Las Vegas, NV 89031-2373

Mailing address

5119 Camino Al Norte Ste 100
N Las Vegas, NV 89031-2373
Phone (702) 625-8989

Other practice location 1

1301 Bertha Howe Ave Ste 8
Mesquite, NV 89027-7503
Phone (702) 346-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20210218002625 NV Practitioner - Gastroenterology 5496891392 Reassigns benefits to 1 organization
Practice locations: N Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Virginia Commonwealth University, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 Betha Howe Ave
Suite 8
Mesquite, NV 89027
Phone (702) 346-1700

848 N Rainbow Blvd
Suite 160
Las Vegas, NV 89107-1103

Hospital & facility affiliations

  • Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy84
Upper gastrointestinal (GI) endoscopy for acid reflux100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103328CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George Tan MD PLLC Gastroenterology CurrentSince Feb 24, 2023 Accepting new patients
Vegas Ambulatory Surgery Center LLC CurrentSince Oct 1, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

1330 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 562-8564

848 N Rainbow Blvd
Las Vegas, NV 89107
Phone (702) 426-4138

1301 Bertha Howe Ave
Ste 8
Mesquite, NV 89027
Phone (702) 346-1700

5135 Camino Al Norte
Ste 150
North Las Vegas, NV 89031
Phone (702) 853-6714

5119 Camino Al Norte
Ste 110
North Las Vegas, NV 89031
Phone (702) 625-2314

5119 Camino Al Norte
North Las Vegas, NV 89031
Phone (702) 625-8989

5119 Camino Al Norte
Ste 100
North Las Vegas, NV 89031
Phone (702) 625-8989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJFGCD/Endpoint/IJFGCD
  • Direct secure messaging: gtan@yourcarecommunity.org

Organizations & group practices 8

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 3

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": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1205071677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 CAMINO AL NORTE STE 100",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-625-8989",
            "fax_number": "702-331-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 CAMINO AL NORTE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-625-8989",
            "fax_number": "702-331-3115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Bertha Howe Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890277503",
            "country_code": "US",
            "telephone_number": "702-346-1700",
            "fax_number": "702-331-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-12",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A103328",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "20694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.