Individual provider Active NPI

Patricia Marie Ngkaion Tan, MD

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1285816652
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41909 Issued in AZ
Practice address
1090 S Gilbert Rd Ste 106-128
Gilbert, AZ 85296-3438
Phone
(619) 648-1247
Fax
(888) 354-0043
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41909 AZ Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 60947868 WA
Internal Medicine Physician 207R00000X 60947868 WA
Internal Medicine Physician 207R00000X 4301111153 MI
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 2022-0923 NM
Internal Medicine Physician 207R00000X 2022-0923 NM
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 41909 AZ
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 4301111153 MI

Addresses

Primary practice location

1090 S Gilbert Rd Ste 106-128
Gilbert, AZ 85296-3438

Mailing address

410 N Scottsdale Rd Ste 1500
Tempe, AZ 85288-7094
Phone (602) 255-7076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60947868WAMDInternal Medicine Physician
4301111153MIMDObesity Medicine (Preventive Medicine) Physician
2022-0923NMMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1285816652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N SCOTTSDALE RD STE 1500",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852887094",
            "telephone_number": "602-255-7076",
            "fax_number": "844-651-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S GILBERT RD STE 106-128",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963438",
            "telephone_number": "619-648-1247",
            "fax_number": "888-354-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "PATRICIA MARIE",
        "middle_name": "NGKAION",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "41909",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "WA",
            "license": "60947868",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "60947868",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301111153",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NM",
            "license": "2022-0923",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2022-0923",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "AZ",
            "license": "41909",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "MI",
            "license": "4301111153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.