SANDA A TAN (MD) – Colon & Rectal Surgery Physician, NPI 1043422421

SANDA A TAN (MD) is a healthcare provider. based in Gainesville, Florida. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials MD. They hold a License No. 052098 (GA). The NPI Number for SANDA A TAN (MD) is 1043422421

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SANDA A TAN (MD)
NPI
1043422421
Phone
(352) 265-0761
Address
PO BOX 100109
Enumeration Date
5 May 2007
Last Update Date
18 May 2021

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5048662741
Graduation Year
2001 (25 years ago)
PAC ID
6305934761
Group Practice PAC ID
0244136448
Professional Enrollment ID
I20240509000714
Address ID
LA701252514NE2832XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

208 COLORECTAL SURGERY (PROCTOLOGY) in FL

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Provider Addresses for SANDA A TAN (MD)

  • PO BOX 100109

    GAINESVILLE, FL 326103001

    Phone: (352) 265-0761

    Fax: (352) 265-0106

    Type: Mailing

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    BOX 100109

    GAINESVILLE, FL 326100109

    Phone: (352) 265-0761

    Fax: (352) 265-1060

    Type: Location

  • 2130 E JOHNSON AVE STE 130

    PENSACOLA, FL 325146065

    Phone: (850) 494-3749

    Fax: (850) 494-3974

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $4,691.

Total Amount is formed as General ($4,691) + Research ($0) + Ownership ($0) = $4,691.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,194).

Total Amount

$4,691

General + Research + Ownership

Payments

43

Total payment records

General Amount

$4,691

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2024-05-09

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
I20240509000714IColorectal Surgery (Proctology)LATBD

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
99204New patient office or other outpatient visit, 45-59 minutes8383$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2322$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 32610)

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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: 0244136448View full group profile
NameSpecialtyState
-LA
-LA
Geriatric MedicineAL
Vascular SurgeryLA
Vascular SurgeryLA
Diagnostic Radiology, Interventional RadiologyIL
Internal MedicineLA
Qualified AudiologistLA
O T O L A R Y N G O L O G YNC
R H E U M A T O L O G YLA

Reviews

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Frequently asked questions

What unique ID ties claims to SANDA A TAN (MD)?
NPI 1043422421 is assigned to SANDA A TAN (MD) under the national enumeration system.
Is SANDA A TAN (MD) currently active in the NPI registry?
CMS-published data lists SANDA A TAN (MD) as an active registrant.
What does SANDA A TAN (MD) treat or focus on?
Patients typically see SANDA A TAN (MD) under the specialty Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is SANDA A TAN (MD)'s primary listing?
We display Gainesville, Florida because that is what the record indicates for SANDA A TAN (MD).
Is SANDA A TAN (MD) a real provider?
This page reflects official NPPES data for NPI 1043422421. Always confirm identity and privileges with the practice and licensing boards.

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