NPIMap

Individual provider Active NPI

Catherine Chiu Tan, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1508886219
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201582 Issued in NY
Practice address
300 White Spruce Blvd
Suite 100
Rochester, NY 14623-1606
Phone
(585) 424-5440
Fax
(585) 427-2712
NPI assigned
Jul 19, 2006
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201582 NY Primary

Addresses

Primary practice location

300 White Spruce Blvd
Suite 100
Rochester, NY 14623-1606

Mailing address

300 White Spruce Blvd
Suite 100
Rochester, NY 14623-1606
Phone (585) 424-7000

Other identifiers 1

IdentifierTypeStateIssuer
01880148MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctan6812@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001057 NY Practitioner - Internal Medicine 9638363211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Internal Medicine of Brighton, PLLCGroup PAC ID 8628448370, 8 clinicians

Practice addresses (Care Compare)

300 White Spruce Blvd
Suite 100
Rochester, NY 14623-1606
Phone (585) 424-5440

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Brighton, PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

300 White Spruce Blvd
Ste 100
Rochester, NY 14623
Phone (585) 424-5440

Interoperability endpoints

  • Direct secure messaging: ctan6812@direct.urmc.rochester.edu

Organizations & group practices 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1508886219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WHITE SPRUCE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231606",
            "telephone_number": "585-424-7000",
            "fax_number": "585-427-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WHITE SPRUCE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231606",
            "telephone_number": "585-424-5440",
            "fax_number": "585-427-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CATHERINE",
        "middle_name": "CHIU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880148",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctan6812@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ctan6812@direct.urmc.rochester.edu",
            "address_1": "300 White Spruce Blvd",
            "address_2": "Suite 100",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146231606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.