Individual provider Active NPI

Gregorio Tan, MD

  • Cardiovascular Disease Physician
  • Kalamazoo, MI
National Provider Identifier
1316926751
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301067381 Issued in MI
Practice address
1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone
(269) 381-3963
Fax
(269) 381-2809
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301067381 MI Primary

Addresses

Primary practice location

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633

Mailing address

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone (269) 381-3963

Other identifiers 1

IdentifierTypeStateIssuer
4387885MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040712001404 MI Practitioner - Cardiovascular Disease (Cardiology) 0244218576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

7901 Angling Rd
Portage, MI 49024-0714
Phone (269) 324-8600

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Medical Group Promed Cardiovascular Disease CurrentSince Feb 1, 2011 Accepting new patients
Ascension Borgess Hospital CurrentSince Jul 1, 2003 Accepting new patients
Promed Healthcare CurrentSince Feb 1, 2011 Accepting new patients
Ascension Borgess Hospital CurrentSince Jul 1, 2003 Accepting new patients
Premier Medical Care P C Past Accepting new patients
St Francis Hospital Past Accepting new patients

Locations

3198 Solutions Ctr
Chicago, IL 60677

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

360 E Chicago St
Ste 108
Coldwater, MI 49036
Phone (517) 279-2885

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1541 Gull Rd
Ste 100
Kalamazoo, MI 49048
Phone (269) 226-5290

1717 Shaffer St
Ste 229
Kalamazoo, MI 49048
Phone (269) 381-0764

1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600

215 E Mansion St
Ste 3B
Marshall, MI 49068
Phone (269) 343-1264

671 Allegan St
Ste B
Plainwell, MI 49080
Phone (269) 685-3123

7901 Angling Rd
Ste 7
Portage, MI 49024
Phone (269) 381-3963

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Interoperability endpoints

  • Direct secure messaging: gtan10814@direct.bronsonhg.org

Organizations & group practices 7

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316926751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963",
            "fax_number": "269-381-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963",
            "fax_number": "269-381-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "GREGORIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301067381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4387885",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.