Terry Marie Tan, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01320 Issued in MD

Practice address

711 Maiden Choice LN
Baltimore, MD 21228-3632

Phone

(410) 247-5602

Fax

(410) 242-1756

NPI assigned

Jul 6, 2006

Last updated

Jul 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erickson Health Medical Group of Maryland, PCGroup PAC ID 2860304136, 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Erickson Health Medical Group of Maryland PC

  • Internal Medicine Physician
  • Catonsville, MD
  • NPI 1598816449
  Medicare reassignment Care Compare group NPD
• Erickson Health Medical Group of Maryland PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bethesda, MD
  • NPI 1518830611

  Podiatrist

  NPD
• Professional Management Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
  • NPI 1144653288
  NPD (past)
• Professional Management Services, LLC

  • Podiatrist
  • Baltimore, MD
  • NPI 1699731810
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1285666818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "410-402-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MAIDEN CHOICE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283632",
            "telephone_number": "410-247-5602",
            "fax_number": "410-242-1756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7051 Rockledge Dr",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171680",
            "country_code": "US",
            "telephone_number": "301-272-9830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 Walther Blvd",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212349001",
            "country_code": "US",
            "telephone_number": "410-882-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 Gracefield Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209041820",
            "country_code": "US",
            "telephone_number": "301-572-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "TERRY",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "138CER-610595-07",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0045",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "0943ER-610595-07",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "610595-07",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008203101",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008203102",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008203100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "2701161",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Li Ting Tan, MD
• Liza Bee Kun Tan, MB BCH BAO
• Marietta Tan, M.D.
• Marvin Tan
• Matthew Ryan Sy Tan
• Brandi Tanasescu
• Dustin Tanasescu, CRNA
• Ved Tanavde
• Alain Tanbe, M.D.
• Brandi Alexis Tancemore, LCPC

• Podiatrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.