JASON ANDREW TAN (M.D.) – Anesthesiology Physician, NPI 1285812495

JASON ANDREW TAN (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. A93699 (CA). The NPI Number for JASON ANDREW TAN (M.D.) is 1285812495

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
JASON ANDREW TAN (M.D.)
NPI
1285812495
Phone
(646) 801-9771
Address
1575 S BERETANIA ST
Enumeration Date
11 February 2008
Last Update Date
20 May 2015

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8082635500
Graduation Year
2004 (22 years ago)
PAC ID
6406078443
Group Practice PAC ID
3274929724
Professional Enrollment ID
I20141106002607
Address ID
HI967344454KA640XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

194 ANESTHESIOLOGY in HI

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Provider Addresses for JASON ANDREW TAN (M.D.)

  • 1575, South Beretania Street, Pawaa, Honolulu, Honolulu County, Hawaii, 96826, United States

    SUITE 201-202

    HONOLULU, HI 968261149

    Phone: (646) 801-9771

    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 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Novo Nordisk Inc ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$16
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: 2014-11-06

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
I20141106002607IAnesthesiologyHITBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1816$0
View full utilization report →

Insurance plans in this area (ZIP 96826)

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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: 3274929724View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)HI
A N E S T H E S I O L O G YHI
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)MD
A N E S T H E S I O L O G YRI
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What identifier follows JASON ANDREW TAN (M.D.) across health systems?
The NPI 1285812495 uniquely identifies JASON ANDREW TAN (M.D.) in U.S. healthcare data.
Quick check: is JASON ANDREW TAN (M.D.) active?
Public NPPES data shows JASON ANDREW TAN (M.D.) with an active NPI status right now.
What services align with JASON ANDREW TAN (M.D.)'s listing?
JASON ANDREW TAN (M.D.)'s public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JASON ANDREW TAN (M.D.)?
JASON ANDREW TAN (M.D.) shows a connection to Honolulu, Hawaii in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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