DR. EDWIN C TAN M.D.
NPI 1073506713
Urology in Flushing, NY

Q: What is Edwin Tan's NPI number?

The NPI number for Edwin Tan is 1073506713. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Q: What is Edwin Tan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Tan was last updated on July 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2005PECOS Enrolled

13626 37TH AVE, FLUSHING, NY 11354(718) 886-1200(718) 886-3901 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Edwin C Tan M.d. NPPES

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

DR. EDWIN C TAN M.D. (NPI 1073506713) is an individual urology provider in Flushing, New York, licensed in New York (132804) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073506713

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. EDWIN C TANCredential: M.D.

Location Address13626 37TH AVEFlushing, NY 11354-6533

Mailing Address125 Walker St Fl 2New York, NY 10013-4135 · (212) 226-8866 · Fax (212) 226-2289

Phone(718) 886-1200

Fax(718) 886-3901

Sole ProprietorNo

Enumeration DateAugust 29, 2005

Last NPPES UpdateJuly 2, 2019

✔ NPI 1073506713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NY · 132804

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

13626 37TH AVE, Flushing, NY 11354

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Other Identifiers 1

Medicaid00377633NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edwin C Tan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

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

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