Active NPI
Edward H Tan, MD
- Diagnostic Radiology Physician
- McAllen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- J5034
- Practice address
- 612 Nolana St
McAllen, TX 78504-3088 - Phone
- (956) 630-2225
- Fax
- (956) 630-2275
- NPI assigned
- May 6, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | J5034 | TX | Primary |
Addresses
Primary practice location
612 Nolana St
McAllen, TX 78504-3088
Mailing address
PO Box 720010
McAllen, TX 78504-0010
Phone (956) 630-2225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0071EY | Other | TX | BLUE CROSS |
| 131136703 | Medicaid | TX | |
| 8F23844 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (956) 467-9552
Hospital & facility affiliations
- South Texas Health System
- Connally Memorial Medical Center
- Hemphill County Hospital
- Hardeman County Memorial Hospital
- Doctors Hosptal at Renaissance
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5034 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Rio Grande Valley | Current | Accepting new patients | |
| The University of Texas Rio Grande Valley | Family Medicine | Current | Accepting new patients |
| Renaissance Medical Foundation | Family Medicine | Current | Accepting new patients |
| RFC Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Upper Valley Interventional Radiology | Diagnostic Radiology | Past | Accepting new patients |
| University of Texas Rio Grande Valley | Past | Accepting new patients |
Locations
62 E Price Rd
Brownsville, TX 78521
Phone (956) 238-2144
1020 S 4th St
Canadian, TX 79014
Phone (806) 323-6422
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
3804 S Jackson Rd
Ste 1
Edinburg, TX 78539
Phone (956) 296-3001
499 10th St
Floresville, TX 78114
Phone (830) 216-7096
614 Maco Dr
Harlingen, TX 78550
Phone (956) 296-7000
2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437
2902 Haine Dr
Harlingen, TX 78550
Phone (956) 296-3821
2106 Treasure Hills Blvd
Ste 1326
Harlingen, TX 78550
Phone (956) 296-1519
10410 Medical Loop
Bldg 6B
Laredo, TX 78045
Phone (956) 701-3984
801 E Nolana Ave
Ste 14
McAllen, TX 78504
Phone (956) 585-8700
1700 W Dove Ave
Ste 60
McAllen, TX 78504
Phone (956) 214-7757
1900 S D St
McAllen, TX 78503
Phone (956) 994-2000
5030 N 10th St
McAllen, TX 78504
Phone (956) 668-0702
1801 S 5th St
Ste 103
McAllen, TX 78503
Phone (956) 627-6399
301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552
101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000
1200 E Savannah Ave
Ste 1
McAllen, TX 78503
Phone (956) 631-0124
2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831
900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000
1300 S Bryan Rd
Mission, TX 78572
Phone (956) 583-0004
3202 W Expressway 83
Ste C
Weslaco, TX 78599
Phone (956) 363-6499
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- McAllen, TX
- NPI 1437478302
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
Family Medicine
-
dba UT Health RGV
- Internal Medicine Physician
- Harlingen, TX
- NPI 1477960730
Family Medicine
-
- Physiological Laboratory
- McAllen, TX
- NPI 1376436998
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
-
- Diagnostic Radiology Physician
- McAllen, TX
- NPI 1962614099
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DHR Health
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
dba DHR Health
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
-
dba Hardeman County Memorial Hospital
- Critical Access Hospital
- Quanah, TX
- NPI 1861510521
-
- Critical Access Hospital
- Canadian, TX
- NPI 1437851235
-
dba South Texas Health System - Heart
- Cardiac Rehabilitation Clinic/Center
- McAllen, TX
- NPI 1043849425
Hospital
-
dba South Texas Health System
- Psychiatric Hospital Unit
- Edinburg, TX
- NPI 1053301754
-
dba South Texas Health System
- General Acute Care Hospital
- Edinburg, TX
- NPI 1770573586
-
- General Acute Care Hospital
- Floresville, TX
- NPI 1871599829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1457300758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720010",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785040010",
"telephone_number": "956-630-2225",
"fax_number": "956-630-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 NOLANA ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043088",
"telephone_number": "956-630-2225",
"fax_number": "956-630-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "EDWARD",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "J5034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0071EY",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131136703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8F23844",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.