Active NPI
Rosemarie Cecelia Tan, MD, PHD
- Neonatal-Perinatal Medicine Physician
- Lincoln, NE
National Provider Identifier
1700865862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- A052356
- Practice address
- 555 S 70TH St
Lincoln, NE 68510-2462 - Phone
- (402) 219-7420
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A052356 | CA | Primary |
Addresses
Primary practice location
555 S 70TH St
Lincoln, NE 68510-2462
Mailing address
8055 O St
Suite 300
Lincoln, NE 68510-2564
Phone (402) 421-0904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329000784 | CA | Order and Referring Only - Pediatric Medicine | 5092869974 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A052356 | CA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of California, a Professional Corporation | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Lincoln Physician Network LLC | Past | Accepting new patients | |
| The Physician Network | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1902116833
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1316041833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1700865862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 O ST",
"address_2": "SUITE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102564",
"telephone_number": "402-421-0904",
"fax_number": "402-421-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102462",
"telephone_number": "402-219-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "ROSEMARIE",
"middle_name": "CECELIA",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A052356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.