Individual provider Active NPI

Andrew E Tyan, MD, MPH

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1942599667
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D82765 Issued in MD
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(410) 955-5000
Fax
(410) 614-1213
NPI assigned
Apr 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 58251 MN
Diagnostic Radiology Physician 2085R0202X D82765 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423

Other practice location 1

5775 Wayzata Blvd Ste 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20180703001654 MN Practitioner - Diagnostic Radiology 5698070753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

10438 185TH St W
Suite 100
Lakeville, MN 55044-5307
Phone (952) 345-3878

15700 37TH Ave N
Suite 100
Plymouth, MN 55446-3663
Phone (952) 541-1840

1790 Beam Ave
Maplewood, MN 55109-1162
Phone (651) 294-4639

2270 Ford Pkwy
Suite 202
Saint Paul, MN 55116-3412
Phone (651) 455-5500

2305 108TH LN NE
Blaine, MN 55449-5222
Phone (763) 278-4429

2700 Vikings Cir
Suite 110
Eagan, MN 55121-1002
Phone (651) 306-4567

3833 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-2599
Phone (763) 433-2000

5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840

6025 Lake Rd
Suite 130
Woodbury, MN 55125-1713
Phone (651) 735-1840

675 E Nicollet Blvd
Suite 150
Burnsville, MN 55337-6742
Phone (952) 898-6627

7123 France Ave S
Edina, MN 55435-4304
Phone (952) 345-3838

775 Prairie Ctr Dr
Suite 260
Eden Prairie, MN 55344-7334
Phone (952) 294-8222

9040 Quaday Ave NE
Suite 100
Otsego, MN 55330-6657
Phone (763) 433-2033

9630 Grove Cir N
Suite 100
Maple Grove, MN 55369-3477
Phone (763) 416-9916

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D82765MDMDDiagnostic Radiology Physician
58251MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Jul 16, 2018 Accepting new patients
Cdi Twin Cities ASC LLC Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Jul 16, 2018 Accepting new patients

Locations

1781 Park Center Dr
Ste 110
Orlando, FL 32835
Phone (407) 253-7190

1000 W Broadway St
Ste 140
Oviedo, FL 32765
Phone (407) 359-6001

964 S Orlando Ave
Winter Park, FL 32789
Phone (407) 628-5051

5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338

5775 Wayzata Blvd
Ste 500A
St Louis Park, MN 55416

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.

Hospital & facility affiliations 1

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1942599667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423",
            "fax_number": "410-933-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5000",
            "fax_number": "410-614-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5775 Wayzata Blvd Ste 190",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554162627",
            "country_code": "US",
            "telephone_number": "952-541-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYAN",
        "first_name": "ANDREW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "58251",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D82765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.