Individual provider Active NPI

Xiao-Wei Cherie Tan, MD

  • Hematology & Oncology Physician
  • Frederick, MD
National Provider Identifier
1679079693
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0091499 Issued in MD
Practice address
112 Thomas Johnson Dr Ste 250
Frederick, MD 21702-4972
Phone
(301) 695-6777
Fax
(301) 695-4852
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 326990 NY
Internal Medicine Physician 207R00000X D0091499 MD
Hematology & Oncology Physician 207RH0003X 326990 NY
Hematology & Oncology Physician 207RH0003X D0091499 MD Primary

Addresses

Primary practice location

112 Thomas Johnson Dr Ste 250
Frederick, MD 21702-4972

Mailing address

112 Thomas Johnson Dr Ste 250
Frederick, MD 21702-4972
Phone (301) 695-6777

Other practice location 1

20330 Seneca Meadows Pkwy # B
Germantown, MD 20876-7004
Phone (301) 424-6231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240711000038 NY Practitioner - Hematology/Oncology 9335553221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Toledo College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hematology-Oncology Associates of Cny, PCGroup PAC ID 6709787823, 65 clinicians

Practice addresses (Care Compare)

5008 Brittonfield Pkwy
East Syracuse, NY 13057-9248
Phone (315) 472-7504

5490 Cobbler Way
Camillus, NY 13031-4309
Phone (315) 472-7504

Hospital & facility affiliations

  • Hospice of Central New York Hospice, Liverpool, NY, CCN 331511
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
326990NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology-Oncology Associates of Cny, PC Hematology & Oncology CurrentSince Jul 1, 2024 Accepting new patients

Locations

5008 Brittonfield Pkwy
Ste 700
East Syracuse, NY 13057

5008 Brittonfield Pkwy
East Syracuse, NY 13057
Phone (315) 634-5056

Organizations & group practices 1

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1679079693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 THOMAS JOHNSON DR STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024972",
            "telephone_number": "301-695-6777",
            "fax_number": "301-695-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 THOMAS JOHNSON DR STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024972",
            "telephone_number": "301-695-6777",
            "fax_number": "301-695-4852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20330 Seneca Meadows Pkwy # B",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208767004",
            "country_code": "US",
            "telephone_number": "301-424-6231",
            "fax_number": "301-528-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "XIAO-WEI",
        "middle_name": "CHERIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "326990",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0091499",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "326990",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0091499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.