Active NPI
Raymond Tan, M.D.
- Hospitalist Physician
- Poughkeepsie, NY
National Provider Identifier
1457523995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 235050
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (845) 454-8500
- NPI assigned
- Mar 25, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 235050 | NY | |
| Hospitalist Physician | 208M00000X | 235050 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 235050 | NY |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
1351 Route 55
Suite 200
Lagrangeville, NY 12540-5108
Phone (845) 475-9660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04080159 | Medicaid | NY | |
| 002036400 | Medicaid | FL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Reade PL
FL 1
Poughkeepsie, NY 12601-3947
Phone (845) 431-5645
Hospital & facility affiliations
- Vassar Brothers Medical Center
- Northern Dutchess Hospital
- Ellenville Regional Hospital
- Montefiore St Luke'S Cornwall
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.13 of 100
- Quality
- 97.25
- Improvement activities
- 0
- Cost
- 82.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Nuvance Health Medical Practice PC | Internal Medicine | Current | Accepting new patients |
| Vassar Brothers Hospital | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622
300 Community Dr
Plandome, NY 11030
45 Reade Pl
Fl 1
Poughkeepsie, NY 12601
Phone (845) 431-5645
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
50 Seaview Blvd
Prt Washingtn, NY 11050
Phone (516) 484-3460
777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120
Interoperability endpoints
- rtan@direct.health-quest.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
- Critical Access Hospital
- Ellenville, NY
- NPI 1073525341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1457523995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 ROUTE 55",
"address_2": "SUITE 200",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405108",
"telephone_number": "845-475-9660",
"fax_number": "845-475-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-454-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-25",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "235050",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "235050",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "235050",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04080159",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002036400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.