DR. EUGENE MATTHEW TAN (MD) – Internal Medicine Physician, NPI 1962848663

DR. EUGENE MATTHEW TAN (MD) is a healthcare provider. based in Rochester, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 59810 (AZ). The NPI Number for DR. EUGENE MATTHEW TAN (MD) is 1962848663

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. EUGENE MATTHEW TAN (MD)
NPI
1962848663
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
21 May 2013
Last Update Date
10 January 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
3033384545
Graduation Year
2013 (13 years ago)
PAC ID
4981844495
Group Practice PAC ID
1254238454
Professional Enrollment ID
I20210728000948
Address ID
CO802471314DE10350AVEX402

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness85
Years active:13State licenses:4Other namesUpdated within 12 months

3,638 INTERNAL MEDICINE in MN

Provider Addresses for DR. EUGENE MATTHEW TAN (MD)

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • 4803 WARD RD

    WHEAT RIDGE, CO 800331902

    Phone: (303) 338-4545

    Type: Location

  • 4001 COLISEUM DR STE 300

    HAMPTON, VA 236666257

    Phone: (757) 827-2025

    Fax: (757) 275-9802

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20201210003060IInternal MedicineVATBD
I20210728000948IInternal MedicineCOTBD

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 55905)

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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: 1254238454View full group profile
NameSpecialtyState
Nurse PractitionerCO
-CO
Physical Therapist In Private PracticeCO
-CO
-CO
-CO
Cardiovascular Disease (Cardiology)CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

What is DR. EUGENE MATTHEW TAN (MD)'s NPI number?
DR. EUGENE MATTHEW TAN (MD)'s NPI is 1962848663 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. EUGENE MATTHEW TAN (MD)?
For scheduling context, DR. EUGENE MATTHEW TAN (MD) is shown as active in the registry.
What expertise is attributed to DR. EUGENE MATTHEW TAN (MD)?
DR. EUGENE MATTHEW TAN (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. EUGENE MATTHEW TAN (MD) associated with Rochester?
Public fields place DR. EUGENE MATTHEW TAN (MD) around Rochester, Minnesota. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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