Lennart Cu Tan, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD00043826 Issued in WA

Practice address

13103 E Mansfield Avenue
Spokane Valley, WA 99216-1642

Phone

(509) 892-2700

Fax

(509) 892-2740

NPI assigned

Apr 13, 2006

Last updated

Mar 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

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 2

Specialty

Pathology

Education

Indiana University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Incyte Pathology PLLCGroup PAC ID 9638067945, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
• Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
• Valley Medical Center Hospital, Renton, WA, CCN 500088
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Incyte Pathology, LLC

  dba InCyte Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Spokane Valley, WA
  • NPI 1326086745

  ID

  Medicare reassignment Care Compare group NPD
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Hospital

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  Medicare reassignment NPD
• Washington Gastroenterology PLLC

  • Gastroenterology Physician
  • Tacoma, WA
  • NPI 1306364401
  Medicare reassignment NPD
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Health Clinic

  • Rural Health Clinic/Center
  • Snoqualmie, WA
  • NPI 1558869289
  NPD
• Washington Gastroenterology PLLC

  dba Washington Gastroenterology Lab

  • Clinical Medical Laboratory
  • Federal Way, WA
  • NPI 1467011122
  NPD
• Eastside Pathology Inc PS

  • Clinical Medical Laboratory
  • Bellevue, WA
  • NPI 1013184621

  Anatomic Pathology & Clinical Pathology

  NPD (past)
• Eastside Pathology Inc PS

  • Anatomic Pathology & Clinical Pathology Physician
  • Bellevue, WA
  • NPI 1609830900
  NPD (past)
• Public Hospital District No 4 King County Washington

  dba Public Hospital District No 4 Clinic

  • Family Medicine Physician
  • Snoqualmie, WA
  • NPI 1144432634
  NPD (past)

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

• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1598971855
  Care Compare affiliation
• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1861432726
  Care Compare affiliation
• Providence Health & Services - Wa

  dba Prov Scred Hrt Med Ctr & Chlds Hos

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation
• Providence Health & Services - Washington

  dba Providence Holy Family Hospital

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1225289895
  Care Compare affiliation
• Public Hospital District 1 of King County

  dba Valley Medical Center

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1649209230
  Care Compare affiliation
• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574
  Care Compare affiliation

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1982668364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3405",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203405",
            "telephone_number": "509-892-2700",
            "fax_number": "509-892-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13103 E MANSFIELD AVENUE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161642",
            "telephone_number": "509-892-2700",
            "fax_number": "509-892-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "LENNART",
        "middle_name": "CU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "MD00043626",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD00043826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Taft, M.S.W. LICSW
• Tia Rae Tague, LMP
• Sara Talarico
• Talk, Learn and Communicate
• Michael Thomas Tamburello, LMP
• Tanner DDS PLLC
• Sommer Tanner- Wright, APRN
• Steven Tanner, D.D.S.
• Dan Tarasov, PTA
• Mary Tate, LMT

• Anatomic Pathology & Clinical Pathology Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.