DR. FREDERICK S TAN (MD) – Nephrology Physician, NPI 1689698615

DR. FREDERICK S TAN (MD) is a healthcare provider. based in Bryan, Texas. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. K8511 (TX). The NPI Number for DR. FREDERICK S TAN (MD) is 1689698615

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK S TAN (MD)
NPI
1689698615
Phone
(979) 774-3960
Address
2801 E 29TH ST
Enumeration Date
26 July 2006
Last Update Date
2 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9797743960
Graduation Year
1982 (44 years ago)
PAC ID
6406941830
Professional Enrollment ID
I20110331000337
Address ID
TX778022619BR2801XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

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Provider Addresses for DR. FREDERICK S TAN (MD)

  • 2801, East 29th Street, Bryan, Brazos County, Texas, 77802, United States

    STE 117

    BRYAN, TX 778022618

    Phone: (979) 774-3960

    Fax: (979) 774-4506

    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 $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($39).

Total Amount

$39

General + Research + Ownership

Payments

1

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$39
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: 2011-03-31

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
I20110331000337INephrologyTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes875150$0
99213Established patient office or other outpatient visit, 20-29 minutes725367$0
90970Dialysis services, per day, less than full month service (20 years or older)46126$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)42858$0
90935Hemodialysis procedure with physician evaluation12144$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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Provider's Procedures

DR. FREDERICK S TAN (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTX90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older302131

Reviews

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Frequently asked questions

How do I look up DR. FREDERICK S TAN (MD) by NPI?
Use NPI 1689698615 when you need to reference DR. FREDERICK S TAN (MD) in forms, claims, or directories.
Does this profile mean DR. FREDERICK S TAN (MD) is currently active?
Yes — DR. FREDERICK S TAN (MD) appears active in the national provider directory.
Can you summarize DR. FREDERICK S TAN (MD)'s specialty in plain language?
Clinically, the directory lists DR. FREDERICK S TAN (MD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. FREDERICK S TAN (MD)?
The page summarizes Bryan, Texas for DR. FREDERICK S TAN (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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