BRADFORD TAN (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1891766499

BRADFORD TAN (MD) is a healthcare provider. based in Zion, Illinois. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 036081859 (IL). The NPI Number for BRADFORD TAN (MD) is 1891766499

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
BRADFORD TAN (MD)
NPI
1891766499
Phone
(847) 872-4561
Address
2520 ELISHA AVE
Enumeration Date
31 January 2006
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478724561
Graduation Year
1983 (43 years ago)
PAC ID
1850395757
Group Practice PAC ID
3274446596
Professional Enrollment ID
I20101222000724
Address ID
IL600992676ZI2520XAVEX300

Contacts

Secure Messaging
direct@cityofhope.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

767 PATHOLOGY in IL

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Provider Addresses for BRADFORD TAN (MD)

  • Cancer Treatment Centers of America at Midwestern Regional Medical Center, 2520, Elisha Avenue, Zion, Lake County, Illinois, 60099, United States

    ZION, IL 600992676

    Phone: (847) 872-4561

    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 20 Open Payments records for all available years, with a total value of $550.

Total Amount is formed as General ($550) + Research ($0) + Ownership ($0) = $550.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($173).

Total Amount

$550

General + Research + Ownership

Payments

20

Total payment records

General Amount

$550

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2017-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20101222000724IPathologyILTBD
I20121210000265IPathologyGATBD
I20170331001913IPathologyAZTBD

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
88321Surgical pathology consultation and report on referred slides prepared elsewhere2119$0
View full utilization report →

Insurance plans in this area (ZIP 60099)

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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: 3274446596View full group profile
NameSpecialtyState
Thoracic SurgeryOK
Interventional Radiology, Diagnostic RadiologyIL
General Surgery, Surgical OncologyIL
Hematology/Oncology, Internal MedicineIL
Pulmonary DiseaseIL
Radiation OncologyIL
Registered Dietitian Or Nutrition ProfessionalNY
Medical OncologyIL
Nurse PractitionerIL
P A T H O L O G YIL

Reviews

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Frequently asked questions

What unique ID ties claims to BRADFORD TAN (MD)?
NPI 1891766499 is assigned to BRADFORD TAN (MD) under the national enumeration system.
Does this profile mean BRADFORD TAN (MD) is currently active?
Yes — BRADFORD TAN (MD) appears active in the national provider directory.
What kind of provider is BRADFORD TAN (MD)?
The page reflects Anatomic Pathology & Clinical Pathology Physician for BRADFORD TAN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place BRADFORD TAN (MD)?
The snapshot lists Zion, Illinois for BRADFORD TAN (MD); download NPPES for the complete set.
Is BRADFORD TAN (MD) a real provider?
This page reflects official NPPES data for NPI 1891766499. Always confirm identity and privileges with the practice and licensing boards.

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