NPIMap

Individual provider Active NPI

Eng Keong Tan, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Carson City, NV
National Provider Identifier
1811339013
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
18176 Issued in NV
Practice address
2874 N Carson St Ste 120
Carson City, NV 89706
Phone
(775) 888-6513
Fax
(775) 884-5462
NPI assigned
Jul 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 18176 NV Primary

Addresses

Primary practice location

2874 N Carson St Ste 120
Carson City, NV 89706

Mailing address

PO Box 516598
Los Angeles, CA 90051-0598
Phone (866) 964-3795

Other practice location 1

140 High Street
Springfield, MA 01109-1442
Phone (413) 794-4373

Other practice location 2

140 High Street
Springfield, MA 01109-1442
Phone (413) 794-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117003993 NV Practitioner - Endocrinology 8325274806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CTH Physicians ClinicGroup PAC ID 1254787203, 107 clinicians
Carson Tahoe Physician ClinicsGroup PAC ID 1153479027, 104 clinicians

Practice addresses (Care Compare)

1460 S Curry St
Carson City, NV 89703-5100
Phone (775) 445-5181

2874 N Carson St
Suite 200
Carson City, NV 89706-1682
Phone (775) 445-7170

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Clinics CurrentSince Sep 1, 2018 Accepting new patients
CTH Physicians Clinic CurrentSince Dec 1, 2025 Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients

Locations

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

1460 S Curry St
Carson City, NV 89703
Phone (775) 445-5181

2874 N Carson St
Ste 120
Carson City, NV 89706
Phone (775) 445-5181

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

10539 Professional Cir
Reno, NV 89521

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Organizations & group practices 6

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 8

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1811339013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516598",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510598",
            "telephone_number": "866-964-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST STE 120",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89706",
            "telephone_number": "775-888-6513",
            "fax_number": "775-884-5462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 High Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011091442",
            "country_code": "US",
            "telephone_number": "413-794-4373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 High Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011091442",
            "country_code": "US",
            "telephone_number": "413-794-4373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "ENG KEONG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "18176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.