Individual provider Active NPI

Wilson Sy Tan, MD

  • Diagnostic Radiology Physician
  • Gettysburg, PA
National Provider Identifier
1508844382
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD061861L Issued in PA
Practice address
147 Gettys St
Gettysburg, PA 17325-2534
Phone
(717) 337-4207
Fax
(717) 337-4227
NPI assigned
Jan 3, 2006
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 MD061861L PA Primary

Addresses

Primary practice location

147 Gettys St
Gettysburg, PA 17325-2534

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 337-4207

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-7000

Other identifiers 1

IdentifierTypeStateIssuer
1013138710001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050728000926 PA Practitioner - Diagnostic Radiology 6901834480 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4811

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2222

2301 S Broad St
Philadelphia, PA 19148-3542

380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 949-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD061861LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc. CurrentSince Aug 16, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology Current Accepting new patients
Wellspan Medical Group CurrentSince Mar 28, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Mar 28, 2021 Accepting new patients
Radiology Group of Abington PC Diagnostic Radiology CurrentSince Oct 8, 2021 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Aug 16, 2024 Accepting new patients
Team Physicians, PC Diagnostic Radiology Past Accepting new patients

Locations

210 Commerce Way
Ste 100
Portsmouth, NH 03801

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

2701 Blair Mill Rd
Ste 9
Willow Grove, PA 19090
Phone (215) 481-3377

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: wtan3408937@direct.trinity-health.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1508844382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-337-4207",
            "fax_number": "717-337-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GETTYS ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252534",
            "telephone_number": "717-337-4207",
            "fax_number": "717-337-4227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-7000",
            "fax_number": "215-456-5926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "WILSON",
        "middle_name": "SY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD061861L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013138710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.