ELLIE RICKARDS TAN MD
NPI 1023637410
Family Medicine in Palm Springs, CA

Q: What is Ellie Tan's NPI number?

The NPI number for Ellie Tan is 1023637410. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Ellie Tan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellie Tan was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment

1150 N PALM CANYON DR, PALM SPRINGS, CA 92262(760) 561-7344(760) 327-3052 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2023, Mar 29, 2021, Apr 15, 2020 (3 updates tracked since 2020).

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About Ellie Rickards Tan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIE RICKARDS TAN MD (NPI 1023637410) is an individual family medicine provider in Palm Springs, California, licensed in California (A180706) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2020).

NPPES Registry Identity

NPI1023637410

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELLIE RICKARDS TANCredential: MD

Location Address1150 N PALM CANYON DRPalm Springs, CA 92262-4402

Mailing Address17916 Holmes AveCerritos, CA 90703-8917 · (509) 217-7394

Phone(760) 561-7344

Fax(760) 327-3052

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 2020

Enumeration DateApril 15, 2020

Last NPPES UpdateAugust 25, 20233 updates tracked since enumeration

NPPES CertifiedAugust 25, 2023

✔ NPI 1023637410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A180706

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1150 N PALM CANYON DR, Palm Springs, CA 92262

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Secondary Practice Locations 2

Location 11100 N Palm Canyon Dr Ste 109Palm Springs, CA 92262-4418 · Phone (760) 992-7171

Location 2555 E Tachevah Dr Ste 2E107Palm Springs, CA 92262-5752 · Phone (760) 561-7373

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ellie Rickards Tan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103280037

PECOS Enrollment IDI20230912000706

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIELLE ZAYNAB AZANI MD

Student in an Organized Health Care Education/Training Program