Stephanus Joseph Tjan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

49802 Issued in CO

Practice address

191 E Orchard Rd Ste 203
Littleton, CO 80121-8057

Phone

(303) 459-2150

Fax

(855) 751-4155

NPI assigned

Aug 12, 2006

Last updated

Jul 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Internal Medicine

Education

Other, 1966

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Porter Hospital, Denver, CO, CCN 060064
• AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanus.tjan.1@20199.direct.athenahealth.com

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.

• Inpatient Consultants of Colorado PC

  • Hospitalist Physician
  • Aurora, CO
  • NPI 1720184690

  Internal Medicine

  Medicare reassignment NPD
• Inpatient Consultants of Colorado PC

  • Podiatrist
  • Englewood, CO
  • NPI 1871892505

  Internal Medicine

  NPD
• Inpatient Consultants of Colorado, PC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1538461256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Portercare Adventist Health System

  dba AdventHealth West Littleton ER

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1548800154
  Care Compare affiliation
• Portercare Adventist Health System

  dba Adventhealth Littleton

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1689688988
  Care Compare affiliation
• Portercare Adventist Health System

  dba South Denver Heart Center

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1720628332
  Care Compare affiliation
• Portercare Adventist Health System

  dba Adventhealth Porter

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1801800594
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1609888429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E ORCHARD RD STE 203",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218057",
            "telephone_number": "303-459-2150",
            "fax_number": "855-751-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E ORCHARD RD STE 203",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218057",
            "telephone_number": "303-459-2150",
            "fax_number": "855-751-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJAN",
        "first_name": "STEPHANUS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "49802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72181281",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy P Masterson DDS, PC
• Titan Home Health
• Emily Grace Tittle, PTA
• Tiffani Titus, MPT
• Timothy Titus
• TL Dental Group, PLLC (Magna Family Dental Studio)
• TLC the Littleton Clinic LLC (TLC The Littleton Clinic)
• Todd M. Juhlin D.D.S., P.C. (Red Rocks Oral Surgery)
• Mary S Todd
• Kristina Marie Toffoli, MA, CAC II

• Internal Medicine Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.