JOHN U. TAN (MD) – Pediatrics Physician, NPI 1093795395

JOHN U. TAN (MD) is a healthcare provider. based in Richmond, Indiana. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 01042239A (IN). The NPI Number for JOHN U. TAN (MD) is 1093795395

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
JOHN U. TAN (MD)
NPI
1093795395
Phone
(765) 825-2229
Address
1100 REID PKWY
Enumeration Date
20 January 2006
Last Update Date
18 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7658276612
Graduation Year
1985 (41 years ago)
PAC ID
9234206384
Group Practice PAC ID
6406910769
Professional Enrollment ID
I20080917000134

Contacts

Secure Messaging
jtan301352@ReidHealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for JOHN U. TAN (MD)

  • Reid Health, 1100, Reid Parkway, Richmond, Wayne County, Indiana, 47374, United States

    MEDICAL STAFF SERVICES

    RICHMOND, IN 473741157

    Phone: (765) 825-2229

    Fax: (765) 825-9767

    Type: Mailing

  • 1473 E STATE ROAD 44

    SUITE 3

    CONNERSVILLE, IN 473318374

    Phone: (765) 825-2229

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $592.

Total Amount is formed as General ($592) + Research ($0) + Ownership ($0) = $592.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($139).

Total Amount

$592

General + Research + Ownership

Payments

35

Total payment records

General Amount

$592

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2008-09-17

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
I20080917000134IPediatric MedicineINTBD

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 47374)

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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: 6406910769View full group profile

Reviews

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Frequently asked questions

How do I look up JOHN U. TAN (MD) by NPI?
Use NPI 1093795395 when you need to reference JOHN U. TAN (MD) in forms, claims, or directories.
Is JOHN U. TAN (MD) active in the national directory?
JOHN U. TAN (MD)'s public NPI profile is in an active state.
Can you summarize JOHN U. TAN (MD)'s specialty in plain language?
Clinically, the directory lists JOHN U. TAN (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What location shows for JOHN U. TAN (MD)?
We surface Richmond, Indiana for JOHN U. TAN (MD) based on available NPPES addresses.
How can I contact JOHN U. TAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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