Natalia Handrayani Tan, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA07379 Issued in TX

Practice address

1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145

Phone

(817) 250-4280

Fax

(817) 250-4281

NPI assigned

Sep 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044
• Parkland Health & Hospital System Hospital, Dallas, TX, CCN 450015

Merit-based Incentive Payment System (MIPS)

Final score

82.87 of 100Reported as group

Quality

70.15

Promoting interoperability

100

Improvement activities

40

Cost

72.75

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment Care Compare group
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1811039381
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1760452767
  NPD (past)

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

• Dallas County Hospital District

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1033250170

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1043468333

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1093754475

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1134377427

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Ambulatory Family Planning Facility
  • Dallas, TX
  • NPI 1144397324

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1144408253

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1154780245

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1164042784

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1184788978

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Internal Medicine Physician
  • Grand Prairie, TX
  • NPI 1194090001

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Ambulatory Family Planning Facility
  • Dallas, TX
  • NPI 1235206418

  Hospital

  Care Compare affiliation
• Dallas County Hospital District

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1235538141

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1851674998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 890",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042145",
            "telephone_number": "817-250-4280",
            "fax_number": "817-250-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 890",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042145",
            "telephone_number": "817-250-4280",
            "fax_number": "817-250-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "NATALIA",
        "middle_name": "HANDRAYANI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07379",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA07379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285353305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285353306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teryn Tamcke, SLP
• Rachel Marie Tamlyn
• Tammie Shelton Counseling, LLC
• Anjanette Tan, M.D.
• Domingo K Tan, MD
• Yue-Qing Tan, MD
• Tandy Village Assisted Living
• Anson Tang
• Ethan Tang, MD
• Brooke Tankleff

• Surgical Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.