Active NPI
Bryan E Xin Tan, MD
- Cardiovascular Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036180418
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1443 - Phone
- (773) 702-9461
- NPI assigned
- Jun 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036180418 | IL | Primary |
| Hospitalist Physician | 208M00000X | 311202 | NY |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (773) 702-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036180418 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Single Specialty | Current | Accepting new patients |
| United Memorial Medical Center | Single Specialty | Current | Accepting new patients |
| Newark Wayne Community Hospital | Single Specialty | Current | Accepting new patients |
| United Memorial Medical Center | Single Specialty | Current | Accepting new patients |
| Clifton Springs Sanitarium Co | Single Specialty | Current | Accepting new patients |
| Rochester General Hospital | Single Specialty | Current | Accepting new patients |
| The Unity Hospital of Rochester | Single Specialty | Current | Accepting new patients |
| The Unity Hospital of Rochester | Single Specialty | Current | Accepting new patients |
| Newark Wayne Community Hospital | Single Specialty | Current | Accepting new patients |
Locations
229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440
16 Bank St
Batavia, NY 14020
Phone (585) 344-4800
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Organizations & group practices 9
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
- Clifton Springs, NY
- NPI 1366505463
Single Specialty
-
- General Acute Care Hospital
- Newark, NY
- NPI 1770671182
Single Specialty
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
Single Specialty
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
Single Specialty
-
- General Acute Care Hospital
- Newark, NY
- NPI 1346369212
Single Specialty
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
Single Specialty
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
Single Specialty
-
- Family Medicine Physician
- Batavia, NY
- NPI 1669747085
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1366937211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 HARVESTER DR STE 110",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276686",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "773-702-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "BRYAN E XIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-23",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036180418",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "311202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.