Individual provider Active NPI

Nehemiah T Tan, M.D.

  • Rheumatology Physician
  • Mattoon, IL
National Provider Identifier
1578520995
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036085107 Issued in IL
Practice address
200 Richmond Ave E Ste 3
Mattoon, IL 61938-4652
Phone
(217) 238-7000
Fax
(217) 234-2060
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036085107 IL Primary

Addresses

Primary practice location

200 Richmond Ave E Ste 3
Mattoon, IL 61938-4652

Mailing address

PO Box 372
Mattoon, IL 61938-0372
Phone (217) 258-2581

Other identifiers 1

IdentifierTypeStateIssuer
036085107MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040520000681 IL Practitioner - Rheumatology 0446241228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

200 Richmond Ave E
Suite 3
Mattoon, IL 61938-4652
Phone (217) 234-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Dec 19, 2024 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Dec 19, 2024 Accepting new patients

Locations

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

200 Richmond Ave E
Ste 3
Mattoon, IL 61938
Phone (217) 234-7000

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1578520995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372",
            "telephone_number": "217-258-2581",
            "fax_number": "217-258-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RICHMOND AVE E STE 3",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384652",
            "telephone_number": "217-238-7000",
            "fax_number": "217-234-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "NEHEMIAH",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036085107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085107",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.