DR. HENRY HINCHUNG TAN (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1366447369

DR. HENRY HINCHUNG TAN (MD) is a healthcare provider. based in Berkeley, California. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. D58871 (MD). The NPI Number for DR. HENRY HINCHUNG TAN (MD) is 1366447369

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. HENRY HINCHUNG TAN (MD)
NPI
1366447369
Phone
(510) 204-1894
Address
2450 ASHBY AVE
Enumeration Date
16 June 2005
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
5102483000
Graduation Year
1999 (27 years ago)
PAC ID
1658310867
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20101012001357
Address ID
CA945382310FR39400PKWY400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

2,125 CRITICAL CARE (INTENSIVISTS) in CA

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Provider Addresses for DR. HENRY HINCHUNG TAN (MD)

  • Alta Bates Summit Medical Center - Alta Bates Campus, 2450, Ashby Avenue, Elmwood, Berkeley, Alameda County, California, 94705, United States

    BERKELEY, CA 947052067

    Phone: (510) 204-1894

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $357.

Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Abbott Laboratories ($209).

Total Amount

$357

General + Research + Ownership

Payments

3

Total payment records

General Amount

$357

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101012001357ICritical Care (Intensivists)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I cross-check DR. HENRY HINCHUNG TAN (MD) using NPI 1366447369?
NPI 1366447369 belongs to DR. HENRY HINCHUNG TAN (MD); compare other details if you need extra assurance.
Is there an active status for DR. HENRY HINCHUNG TAN (MD)?
For scheduling context, DR. HENRY HINCHUNG TAN (MD) is shown as active in the registry.
How would a patient describe DR. HENRY HINCHUNG TAN (MD)'s focus?
For DR. HENRY HINCHUNG TAN (MD), the primary taxonomy reads as Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. HENRY HINCHUNG TAN (MD)?
Travel planning: use Berkeley, California as the reference point for DR. HENRY HINCHUNG TAN (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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