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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: October 25, 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, is affiliated with Valley Medical Center, 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
Medical School CMSOtherGraduated 2023
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hyoeun Tan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688032824
PECOS Enrollment IDI20260810004351
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hyoeun Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Polyclinic
13 mi
Ambulatory Surgical
1229 MADISON ST, SUITE 1660
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 911 clinicians in this Medicare group
NPI 1073944039 (206) 860-5582
Optum Care Washington PLLC
36 mi
Multi-Specialty
3901 HOYT AVE
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 1,285 clinicians in this Medicare group
NPI 1831186766 (425) 259-0966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

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
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
TRAN HUYNH DO
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
King County (425) 690-3445

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.

Which organizations bill Medicare for Hyoeun Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyoeun Tan reassigns Medicare benefits to 2 organizations: The Polyclinic (Seattle, WA) and Optum Care Washington PLLC (Everett, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hyoeun Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hyoeun Tan affiliated with any hospitals?

According to CMS data, Hyoeun Tan is affiliated with Valley Medical Center.

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 2 months 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.