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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HYOEUN TAN
NPI 1114515418
Family Medicine in Renton, WA

Active since January 04, 2021PECOS Enrolled
3915 TALBOT RD S STE 401, RENTON, WA 98055(425) 690-3445(425) 690-9445 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Apr 14, 2023, Jan 4, 2021 (3 updates tracked since 2021).

About Hyoeun Tan NPPES

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

HYOEUN TAN (NPI 1114515418) is an individual family medicine provider in Renton, Washington, licensed in Washington (DO.OP.70002362) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1114515418
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHYOEUN TAN
Location Address3915 TALBOT RD S STE 401Renton, WA 98055-5738
Mailing Address3915 Talbot Rd S Ste 401Renton, WA 98055-5738 · (425) 690-3445 · Fax (425) 690-9445
Phone(425) 690-3445
Fax(425) 690-9445
Sole ProprietorNo
Enumeration DateJanuary 4, 2021
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1114515418 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 WA · DO.OP.70002362
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
3915 TALBOT RD S STE 401, Renton, WA 98055
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Mullins DrLebanon, OR 97355-3983 · Phone (541) 259-0235

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hyoeun Tan 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 98055 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

JULIA PAIGE ROSENBLUM DO
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
King County (425) 690-3445
MARJA LIA NERINI HAFLINGER DO
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
King County (425) 690-3445
DUA NAVEED KHAN DO
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
King County (425) 690-3445
DR. BRADFORD DEAHL GRANATH M.D.
Family Medicine
3915 TALBOT RD S STE 401
RENTON, WA 98055
King County (425) 690-3445
JEEHYUN HELEN BAE MD
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
King County (425) 690-3445
ERIKA GAH YIN HANCOCK MD
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
King County (425) 690-3445
ALEX SY-HUY NGUYEN DO
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
King County (425) 690-3445
DR. ALEX JOSEPH KIPP MD, MALS
Family Medicine
3915 TALBOT RD S STE 401
RENTON, WA 98055
King County (425) 690-7592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hyoeun Tan's NPI number?

The NPI number for Hyoeun Tan is 1114515418. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Hyoeun Tan located?

Hyoeun Tan practices at 3915 Talbot Rd S Ste 401, Renton, WA 98055. The listed phone number is (425) 690-3445.

What is Hyoeun Tan's specialty?

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

Is Hyoeun Tan enrolled in Medicare?

Yes. Hyoeun Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hyoeun Tan was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.