Active NPI
Gregorio Tan, MD
- Cardiovascular Disease Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301067381
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4387885 | Medicaid | MI |
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
Enrollment records 1
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
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
- Bronson Methodist Hospital
- Three Rivers Health
- Oaklawn Hospital
- Insight Hospital and Medical Center Coldwater
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Ascension Medical Group Promed | Cardiovascular Disease | Current | Accepting new patients |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | 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
- 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.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
Cardiovascular Disease
-
- Urgent Care Clinic/Center
- Portage, MI
- NPI 1417130154
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1487696589
-
- Anatomic Pathology & Clinical Pathology Physician
- Escanaba, MI
- NPI 1932206455
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
-
- General Acute Care Hospital
- Three Rivers, MI
- NPI 1568739423
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.