Xin Tan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

219846 Issued in NY

Practice address

4242 Colden St
Suite L17
Flushing, NY 11355-4855

Phone

(718) 661-4800

Fax

(718) 888-2701

NPI assigned

Jan 4, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEAIAA/Endpoint/AEAIAA

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.

• First Riverside Medical Care P.C.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1346562949
  Medicare reassignment NPD Authorized official
• Loyal Medical PC

  • Primary Care Clinic/Center
  • Flushing, NY
  • NPI 1366833352
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1235117979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 COLDEN ST",
            "address_2": "SUITE L17",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554855",
            "telephone_number": "718-661-4800",
            "fax_number": "718-888-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 COLDEN ST",
            "address_2": "SUITE L17",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554855",
            "telephone_number": "718-661-4800",
            "fax_number": "718-888-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "XIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02129591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Tan
• Paul Tan, O.D.
• Qun Ying Tan, MS. ED.
• Samuel Tan
• Wu Tan, MD
• Yin Yin Tan, D.M.D
• Alan Tang, PA
• Chin C Tang, M.D.
• Dennis Chao Tang
• Ho Yin Dominic Tang

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.