THEODORE CONRAD ANG TAN (M.D.) – Internal Medicine Physician, NPI 1003046624

THEODORE CONRAD ANG TAN (M.D.) is a healthcare provider. based in Dover, Delaware. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. C10010131 (DE). The NPI Number for THEODORE CONRAD ANG TAN (M.D.) is 1003046624

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE CONRAD ANG TAN (M.D.)
NPI
1003046624
Phone
(302) 730-0554
Address
810 NEW BURTON RD
Enumeration Date
16 July 2009
Last Update Date
28 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3027300554
Graduation Year
1998 (28 years ago)
PAC ID
4880843390
Group Practice PAC ID
3870503469
Professional Enrollment ID
I20120927000038
Address ID
DE199045488DO810XXRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

777 INTERNAL MEDICINE in DE

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Provider Addresses for THEODORE CONRAD ANG TAN (M.D.)

  • 810, New Burton Road, Sherwood, Dover, Kent County, Delaware, 19904, United States

    SUITE 3

    DOVER, DE 199045488

    Phone: (302) 730-0554

    Fax: (302) 730-1175

    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 58 Open Payments records for all available years, with a total value of $1,080.

Total Amount is formed as General ($1,080) + Research ($0) + Ownership ($0) = $1,080.

Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Novo Nordisk Inc ($214).

Total Amount

$1,080

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,080

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-08

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: 2012-09-27

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
I20120927000038IInternal MedicineDETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes646357$0
99497Advance care planning, first 30 minutes277276$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit273273$0
G0444Annual depression screening, 5 to 15 minutes219219$0
99214Established patient office or other outpatient visit, 30-39 minutes12295$0
View full utilization report →

Insurance plans in this area (ZIP 19904)

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Provider's Procedures

THEODORE CONRAD ANG TAN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEDE90670Pneumococcal vaccine for injection into muscle3433

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: 3870503469View full group profile
NameSpecialtyState
Internal MedicineDE
Nurse PractitionerDE
Nurse PractitionerDE
Internal MedicineDE

Reviews

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Frequently asked questions

How is THEODORE CONRAD ANG TAN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists THEODORE CONRAD ANG TAN (M.D.) with NPI 1003046624.
Does CMS list THEODORE CONRAD ANG TAN (M.D.) as active?
Yes — THEODORE CONRAD ANG TAN (M.D.) is active in the NPI listing used on this page.
What is THEODORE CONRAD ANG TAN (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for THEODORE CONRAD ANG TAN (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for THEODORE CONRAD ANG TAN (M.D.)?
THEODORE CONRAD ANG TAN (M.D.)'s geographic hint is Dover, Delaware in our summary view.
Is the information about THEODORE CONRAD ANG TAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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