THOMAS B. TAN MD – NPI #1275528382
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

THOMAS TAN is a physician located in LAKE SAINT LOUIS, MO. NPPES has assigned the NPI number 1275528382 to THOMAS TAN on September 14, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was last updated on Mar 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THOMAS TAN below.

NPI Profile for
THOMAS B. TAN

NPI Number
1275528382
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THOMAS B. TAN
Credentials
MD
Primary location
400 MEDICAL PLZ STE 100
LAKE SAINT LOUIS, MO 63367-1493
Phone: (636) 639-8600 Fax:
3 Other location(s):
2610 Uhrmann Rd
Klamath Falls, OR 97601-1123
Phone: (541) 274-4171
Rapid City Regional Hospital
353 Fairmont Blvd.
Rapid City, SD 57701
Phone: (850) 232-1165
2717 Michaelangelo Dr Ste 200
Edinburg, TX 78539-1412
Phone: (956) 362-2250
Fax: (956) 362-2251
Mailing address
4724 N DAVIS HWY
PENSACOLA, FL 32503-2339
Phone: (850) 696-4000 Fax: (850) 434-2647
Sole Proprietor
No
Updated
Certification Date
Mar 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THOMAS TAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherAL MEDICAID- FOLEYAL109896
otherAL MEDICAID- N DAVISAL110883
otherAL MEDICAID- WEST FLORIDA OFFICEAL110905
medicaidFL371163300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
AL 17614
207RX0202X
- Internal Medicine / Medical Oncology
OR MD221267

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
THOMAS TAN is affiliated with the following medical group(s):
  • HOSPITAL
    • MONUMENT HEALTH RAPID CITY HOSPITAL
      353 FAIRMONT BLVD POST OFFICE BOX 6000
      RAPID CITY, SD 57701
    • ST MARYS MEDICAL CENTER
      2635 N 7TH ST
      GRAND JUNCTION, CO 81501

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.