KELLY KEH LIH TAN M.D. NPI 1023299799

Internal Medicine in Long Grove, IL

NPI 1023299799 Individual Female Years of Experience 16 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About KELLY TAN

Kelly Tan is an internal medicine provider established in Long Grove, Illinois and her medical specialization is internal medicine with more than 16 years of experience. She graduated from Rush Medical College Of Rush University in 2005. The NPI number of Kelly Tan is 1023299799 and was assigned on November 2007. The practitioner's primary taxonomy code is 207R00000X with license number 125049167 (IL). The provider is registered as an individual and her NPI record was last updated 8 years ago.

An internist like Kelly Keh Lih Tan M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Kelly Tan is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kelly Tan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Advocate Lutheran General Hospital, Advocate Condell Medical Center and Northwest Community Hospital 1.

NPI

1023299799

Provider Name KELLY KEH LIH TAN M.D.
Provider Location Address3880 SALEM LAKE DR STE F LONG GROVE, IL 60047
Provider Mailing Address3880 SALEM LAKE DR STE F LONG GROVE, IL 60047
GenderFemale
NPI Entity TypeIndividual
Medical School NameRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-21-2007
Last Update Date11-06-2013


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.125049167
License StateIL
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

KELLY KEH LIH TAN M.D.
3880 SALEM LAKE DR
STE F
LONG GROVE, IL
ZIP 60047
Phone: (847) 719-2220
Fax: (847) 719-2265

Get Directions


Mailing Address

KELLY KEH LIH TAN M.D.
3880 SALEM LAKE DR
STE F
LONG GROVE, IL
ZIP 60047
Phone: (847) 719-2220
Fax: (847) 719-2265



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8022160696
PECOS Enrollment IDI20090713000015
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kelly Tan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ADVOCATE LUTHERAN GENERAL HOSPITAL1775 DEMPSTER ST
PARK RIDGE, IL 60068
(847) 723-2210Acute Care Hospitals140223
ADVOCATE CONDELL MEDICAL CENTER801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
(847) 362-2900Acute Care Hospitals140202
NORTHWEST COMMUNITY HOSPITAL 1800 W CENTRAL ROAD
ARLINGTON HEIGHTS, IL 60005
(847) 618-1000Acute Care Hospitals140252

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208M00000XAllopathic & Osteopathic PhysiciansHospitalist036119745ILNo

Taxonomy Description: hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
FT0898176OTHER (01)
036119745MEDICAID (05)IL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295010635 TRICIA HELEN WARD APN
Individual
Nurse Practitioner (Family)3880 SALEM LAKE DR
LONG GROVE, IL 60047
(847) 719-2220
1710222344MRS. KATARZYNA ANNA KOZIOL APN, ANP-BC
Individual
Nurse Practitioner (Adult Health)3880 SALEM LAKE DR SUITE F
LONG GROVE, IL 60047
(847) 719-2220
1396762084 RANJANA P SOORYA MD
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220
1124267067 BRENDA SUE SNYDER D.O.
Individual
Internal Medicine3880 SALEM LAKE DR SUITE F
LONG GROVE, IL 60047
(847) 719-2220
1528389954DR. ASHISH PARIKH M.D.
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220
1013981778 MAREK FILIPIUK M.D.
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220
1851344766 VISHNU JINDAL M.D.
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220
1225084916 JEFFRY W KREAMER D.O.
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220
1740215102 PARU KUTTY SHARMA MD
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220
1710058227 NATALIE CORREIA D.O.
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 235-3077
1952461238DR. MARIO AFFINATI M.D.
Individual
Internal Medicine3880 SALEM LAKE DR F
LONG GROVE, IL 60047
(847) 719-2220
1831259118DR. LANIS KUYZIN M.D.
Individual
Internal Medicine3880 SALEM LAKE DR F
LONG GROVE, IL 60047
(847) 719-2220
1720148000DR. RICHARD BAKER D.O..
Individual
Internal Medicine3880 SALEM LAKE DR F
LONG GROVE, IL 60047
(847) 719-2220
1326108606DR. BRENDA AFFINATI M.D.
Individual
Internal Medicine3880 SALEM LAKE DR F
LONG GROVE, IL 60047
(847) 719-2220
1366502643DR. KIMBERLY ROSENTHAL D.O..
Individual
Internal Medicine3880 SALEM LAKE DR F
LONG GROVE, IL 60047
(847) 719-2220
1326202276 DEEPALI AHLUWALIA M.D
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220
1841456530DR. BRIAN B VARGHESE M.D.
Individual
Internal Medicine3880 SALEM LAKE DR F
LONG GROVE, IL 60047
(847) 719-2220
1497084594DR. ADITI HARSHAD SHAH M.D
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220
1275544009 KHOLA A HAI MD
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220
1194024620 KEVIN GO MD
Individual
Internal Medicine3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
(847) 719-2220

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.