Individual provider Active NPI

Richard Tan Li Zhe, MBBCH

  • Vascular Surgery Physician
  • Montgomery, AL
National Provider Identifier
1235795659
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
51108 Issued in AL
Practice address
2104 Chestnut St
Montgomery, AL 36106-1113
Phone
(334) 801-9952
NPI assigned
May 10, 2019
Reactivated
Jan 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 51108 AL Primary

Addresses

Primary practice location

2104 Chestnut St
Montgomery, AL 36106-1113

Mailing address

2104 Chestnut St
Montgomery, AL 36106-1113
Phone (334) 801-9952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250613001272 AL Practitioner - Vascular Surgery 9335650779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresenius Vascular Care Montgomery LLLPGroup PAC ID 6608176839, 3 clinicians
Alabama Vascular Specialists PCGroup PAC ID 5294117008, 4 clinicians

Practice addresses (Care Compare)

1501 Forest Ave
Montgomery, AL 36106-1539
Phone (334) 593-7434

2104 Chestnut St
Montgomery, AL 36106-1113
Phone (334) 801-9952

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)24
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lightfoot Chiropractic Clinic, LLC CurrentSince Jul 1, 2025 Accepting new patients
Fresenius Vascular Care Montgomery LLLP CurrentSince Oct 1, 2025 Accepting new patients
Alabama Vascular Specialists, PC Vascular Surgery CurrentSince Jul 1, 2025 Accepting new patients
Fresenius Vascular Care Montgomery ASC LLC Past Accepting new patients

Locations

2104 Chestnut St
Montgomery, AL 36106
Phone (334) 613-0807

1501 Forest Ave
Montgomery, AL 36106
Phone (334) 265-3140

2117 Broad St
Selma, AL 36701
Phone (334) 801-9952

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.372198
  • Direct secure messaging: richard.tan.p106@direct.aac.nextgenshare.com

Organizations & group practices 4

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 5

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1235795659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061113",
            "telephone_number": "334-801-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061113",
            "telephone_number": "334-801-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN LI ZHE",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MBBCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "deactivation_date": "2019-12-20",
        "reactivation_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "51108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.