Individual provider Active NPI

Maria Ghee-Ming Tan, MD

  • General Practice Physician
  • Missouri City, TX
National Provider Identifier
1689666158
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
F3356 Issued in TX
Practice address
4501 Cartwright Rd
Ste 604
Missouri City, TX 77459-3534
Phone
(281) 499-9606
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F3356 TX
General Practice Physician 208D00000X F3356 TX Primary

Addresses

Primary practice location

4501 Cartwright Rd
Ste 604
Missouri City, TX 77459-3534

Mailing address

PO Box 454
Missouri City, TX 77459-0454

Other names 1

  • Dr. Maria Tan Other name

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
I20100914001035 TX Practitioner - Family PracticePractitioner - General Practice 5294850285 Practice locations: Missouri City, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4501 Cartwright Rd
Suite 604
Missouri City, TX 77459-3541
Phone (281) 499-9609

454 PO Box
Missouri City, TX 77459

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3356TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1689666158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774590454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CARTWRIGHT RD",
            "address_2": "STE 604",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593534",
            "telephone_number": "281-499-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "MARIA",
        "middle_name": "GHEE-MING",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3356",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "TAN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.