Individual provider Active NPI

Edward H Tan, MD

  • Diagnostic Radiology Physician
  • McAllen, TX
National Provider Identifier
1457300758
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J5034 Issued in TX
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

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0071EYOtherTXBLUE CROSS
131136703MedicaidTX
8F23844OtherTXMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000252 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0446356760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Tulane University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RFC Radiology Associates LLCGroup PAC ID 8022141894, 33 clinicians

Practice addresses (Care Compare)

301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (956) 467-9552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J5034TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley CurrentSince Mar 24, 2023 Accepting new patients
The University of Texas Rio Grande Valley Family Medicine CurrentSince Mar 24, 2023 Accepting new patients
Renaissance Medical Foundation Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
RFC Radiology Associates LLC Diagnostic Radiology CurrentSince Nov 1, 2017 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.