Eugene F Tan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01070325A Issued in IN

Practice address

1640 Crawfordsville Square Dr
Crawfordsville, IN 47933-3800

Phone

(765) 362-5789

Fax

(765) 362-2453

NPI assigned

Nov 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eugene Francis Dy Tan Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franciscan Home Care Home health agency, Lafayette, IN, CCN 157124
• Guardian Angel Hospice Inc Hospice, Kokomo, IN, CCN 151577
• Franciscan Health Crawfordsville Hospital, Crawfordsville, IN, CCN 150022
• Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109
• Lane House, the Nursing home, Crawfordsville, IN, CCN 155477

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: etan95721@direct.franciscanalliance.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hendricks County Hospital

  • Skilled Nursing Facility
  • Crawfordsville, IN
  • NPI 1669428496

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Franciscan Physician Network

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225327984

  Family Medicine, IN

  Medicare reassignment Care Compare group NPD
• Franciscan Physician Network

  • Podiatrist
  • Munster, IN
  • NPI 1093188229
  Care Compare group
• Franciscan Physician Network

  • Clinic/Center
  • Lafayette, IN
  • NPI 1992543250
  NPD
• Athens Medical Group LLC

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1043444714

  Family Medicine

  NPD (past)
• Athens Medical Group, Inc

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1831205210

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franciscan Health Crawfordsville

  • General Acute Care Hospital
  • Crawfordsville, IN
  • NPI 1588774558

  Hospital

  Care Compare affiliation
• Franciscan Health Lafayette

  • General Acute Care Hospital
  • Lafayette, IN
  • NPI 1356435341

  Hospital

  Care Compare affiliation
• Franciscan Health Lafayette

  • Home Health Agency
  • Lafayette, IN
  • NPI 1619970134
  Care Compare affiliation
• Guardian Angel Hospice, Inc.

  • Community Based Hospice Care Agency
  • Kokomo, IN
  • NPI 1841254448

  Hospice

  Care Compare affiliation
• Hendricks County Hospital

  • Skilled Nursing Facility
  • Crawfordsville, IN
  • NPI 1669428496

  Nursing home

  Care Compare affiliation
• St. Clare Medical Center

  • Skilled Nursing Facility
  • Crawfordsville, IN
  • NPI 1508960535

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1295061802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CRAWFORDSVILLE SQUARE DR",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333800",
            "telephone_number": "765-362-5789",
            "fax_number": "765-362-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "EUGENE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01070325A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01070325A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201078090",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etan95721@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1640 Crawfordsville Square Dr",
            "city": "Crawfordsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479333800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EUGENE FRANCIS",
            "last_name": "TAN",
            "middle_name": "DY",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Crawfordsville, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.