Shao Yue Tan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

250021-1 Issued in NY

Practice address

5314 7TH Ave
1FL
Brooklyn, NY 11220-2546

Phone

(718) 686-6888

Fax

(718) 686-6887

NPI assigned

Aug 31, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: shaoyue.tan@ktmo.eclinicaldirectplus.com

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.

• Shao Yue Tan MD PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1013809995
  NPD
• Shao Yue Tan Medical PLLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1548103716
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1487802666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 7TH AVE",
            "address_2": "1FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202546",
            "telephone_number": "917-257-6194",
            "fax_number": "718-686-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 7TH AVE",
            "address_2": "1FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202546",
            "telephone_number": "718-686-6888",
            "fax_number": "718-686-6887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Bay 32nd St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112144111",
            "country_code": "US",
            "telephone_number": "718-686-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "SHAO YUE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-31",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "250021-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Tan, D.D.S.
• Salvador Ruiz Tan Jr., PT
• Sarina Tan
• Sean Tan, PHARM.D
• Sean C Tan
• Teresa Tan, RN
• Timmi Marie Tan, DO
• Tina Michelle Tan, M.S., CCC-SLP
• Wei Yan Tan, MD
• Yongxia Tan

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.