Individual provider Active NPI

Yue-Qing Tan, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1548401094
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N4782 Issued in TX
Practice address
855 Montgomery
Fort Worth, TX 76107-2553
Phone
(817) 735-2000
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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 N4782 TX Primary

Addresses

Primary practice location

855 Montgomery
Fort Worth, TX 76107-2553

Mailing address

PO Box 99335
Fort Worth, TX 76199-0335
Phone (817) 735-2000

Other identifiers 5

IdentifierTypeStateIssuer
206382801MedicaidTX
8CD996OtherTXBCBS
P01113339OtherTXRAILROAD MEDICARE
206382804MedicaidTX
8EJ771OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090923000618 TX Practitioner - Internal Medicine 8921154527 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Integrity MD PLLCGroup PAC ID 9436500048, 16 clinicians
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (214) 660-2518

1050 W Arkansas LN
Arlington, TX 76013-6308
Phone (817) 702-1100

1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701

1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701

1400 S Main St
Fort Worth, TX 76104-4913

1500 S Main St
Fort Worth, TX 76104-4917

1500 S Main St FL
1 Urgent Care Center
Fort Worth, TX 76104-4917
Phone (817) 702-1451

1513 E Presidio St
Fort Worth, TX 76102-6735
Phone (817) 702-1100

1650 S Beach St
Fort Worth, TX 76105-2209
Phone (817) 702-1100

3200 W Euless Blvd
Euless, TX 76040-6253
Phone (817) 702-1100

3301 Stalcup Rd
Fort Worth, TX 76119-1726
Phone (817) 702-7150

3308 Deen Rd
Fort Worth, TX 76106-6524
Phone (817) 702-7000

4701 Bryant Irvin Rd N
Fort Worth, TX 76107-7627
Phone (817) 702-7400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
VMD Primary Providers North Texas, PLLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Integrity MD PLLC Internal Medicine CurrentSince Jul 29, 2024 Accepting new patients
Star Ed PLLC CurrentSince Jun 14, 2020 Accepting new patients
Inpatient Physician Associates PLLC Internal Medicine CurrentSince Sep 15, 2012 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Star MD of Arlington PLLC Internal Medicine CurrentSince Mar 20, 2024 Accepting new patients
Prime Healthcare Services Mesquite LLC Past Accepting new patients

Locations

11801 South Fwy
#I35W
Burleson, TX 76028
Phone (817) 293-4304

9 Medical Pkwy
Dallas, TX 75234
Phone (972) 247-1000

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

5001 Ross Ave
#120
Dallas, TX 75206
Phone (214) 269-5002

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

5001 Mesa Springs Dr
Fort Worth, TX 76123
Phone (817) 702-0400

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

4701 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 702-7400

1412 May St
Ft Worth, TX 76104
Phone (817) 625-8818

601 Clara Barton Blvd
Ste 145
Garland, TX 75042
Phone (972) 560-9400

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

1600 Preston Rd
Plano, TX 75093
Phone (214) 257-8826

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: ytan8520@direct.jpshealth.org

Organizations & group practices 9

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 2

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": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1548401094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99335",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990335",
            "telephone_number": "817-735-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "YUE-QING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206382801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CD996",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01113339",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206382804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EJ771",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.