Individual provider Active NPI

Carl Tahn, M.D.

  • Hematology & Oncology Physician
  • Rockledge, FL
National Provider Identifier
1508961319
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0447691 Issued in KS
Practice address
107 Longwood Ave
Rockledge, FL 32955
Phone
(321) 636-2111
Fax
(321) 636-7180
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X M-2288 GU
Hematology & Oncology Physician 207RH0003X 2018033152 MO
Hematology & Oncology Physician 207RH0003X 89137 FL
Medical Oncology Physician 207RX0202X 0101281530 VA
Medical Oncology Physician 207RX0202X 2018033152 MO
Hematology & Oncology Physician 207RH0003X 0447691 KS Primary

Addresses

Primary practice location

107 Longwood Ave
Rockledge, FL 32955

Mailing address

908 W 4TH North St
Morristown, TN 37814-3894
Phone (423) 492-6100

Other practice location 1

902 N Riverside Rd Ste 200
Saint Joseph, MO 64507-2566
Phone (816) 271-1301

Other practice location 2

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 256-9111

Other practice location 3

2220 Canterbury Dr Ste 150
Hays, KS 67601-2370
Phone (785) 623-5774

Other identifiers 2

IdentifierTypeStateIssuer
268516700MedicaidFL
Q031435MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, MO, ME, WY, GU, KS, MT8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20040308000851 FL Practitioner - Hematology/Oncology 0547158941
I20180920003379 TN Practitioner - Hematology/Oncology 0547158941 Reassigns benefits to 1 organization
I20190812002169 MO Practitioner - Medical Oncology 0547158941 Reassigns benefits to 1 organization
I20200522000740 ME Practitioner - Medical Oncology 0547158941 Reassigns benefits to 3 organizations
I20200706003079 WY Practitioner - Hematology/Oncology 0547158941
I20211220002563 GU Practitioner - Hematology/Oncology 0547158941 Reassigns benefits to 1 organization
I20231019001476 KS Practitioner - Hematology/OncologyPractitioner - Medical Oncology 0547158941 Reassigns benefits to 2 organizations
I20240709002673 MT Practitioner - Hematology/Oncology 0547158941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
George Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2220 Canterbury Dr
Suite 150
Hays, KS 67601-2370
Phone (785) 623-5774

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Rooks County Health Center Hospital, Plainville, KS, CCN 171311
  • Pawnee Valley Community Hospital Hospital, Larned, KS, CCN 171345
  • Graham County Hospital Hospital, Hill City, KS, CCN 171325
  • Phillips County Hospital Hospital, Phillipsburg, KS, CCN 171353

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
78.58
Promoting interoperability
99
Improvement activities
40
Cost
77.82

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89137FLMDHematology & Oncology Physician
0447691KSMDHematology & Oncology Physician
0101281530VAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Dec 8, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Dec 8, 2022 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Jan 3, 2022 Accepting new patients
Rumford Hospital CurrentSince Dec 8, 2022 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Thompson Oncology Group Hematology & Oncology CurrentSince Nov 1, 2017 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Hematology & Oncology CurrentSince Jun 24, 2024 Accepting new patients
Billings Clinic CurrentSince Jun 24, 2024 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Rumford Hospital CurrentSince Dec 8, 2022 Accepting new patients
Hays Medical Center, Inc. Hematology & Oncology CurrentSince Jan 16, 2025 Accepting new patients
Hays Medical Center, Inc CurrentSince Jan 16, 2025 Accepting new patients
Bridgton Hospital CurrentSince Dec 8, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Dec 8, 2022 Accepting new patients
Ozarks Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Ozarks Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Billings Clinic Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

2220 Canterbury Dr
Ste 150
Hays, KS 67601
Phone (785) 623-5774

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Dept 888078
Knoxville, TN 37995

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: carl.tahn@katmai.ikm.direct-ci.com

Organizations & group practices 21

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.

View all 21

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1508961319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W 4TH NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143894",
            "telephone_number": "423-492-6100",
            "fax_number": "423-492-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "32955",
            "telephone_number": "321-636-2111",
            "fax_number": "321-636-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 N Riverside Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072566",
            "country_code": "US",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-256-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Canterbury Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012370",
            "country_code": "US",
            "telephone_number": "785-623-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHN",
        "first_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GU",
            "license": "M-2288",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2018033152",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "89137",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "VA",
            "license": "0101281530",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "2018033152",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "0447691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268516700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q031435",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.