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RUBY R TAN M.D.
NPI 1124278833
Pediatrics in Colonial Heights, VA

Active since September 30, 2008PECOS Enrolled
301 JENNICK DR # A, COLONIAL HEIGHTS, VA 23834(804) 524-0055 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ruby R Tan M.d. NPPES

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

RUBY R TAN M.D. (NPI 1124278833) is an individual pediatrics provider in Colonial Heights, Virginia, licensed in Virginia (0101242398) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1124278833
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRUBY R TANCredential: M.D.
Location Address301 JENNICK DR # AColonial Heights, VA 23834-4904
Mailing Address301 Jennick Dr # AColonial Heights, VA 23834-4904 · (804) 524-0055
Phone(804) 524-0055
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 30, 2008
✔ NPI 1124278833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101242398
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
301 JENNICK DR # A, Colonial Heights, VA 23834
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruby R Tan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820570260
PECOS Enrollment IDI20260304003089
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 Reassignment

Medicare enrollment records show Ruby Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcv Associated Physicians
20 mi
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23834 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Ruby Tan's NPI number?

The NPI number for Ruby Tan is 1124278833. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Ruby Tan located?

Ruby Tan practices at 301 Jennick Dr # A, Colonial Heights, VA 23834. The listed phone number is (804) 524-0055.

What is Ruby Tan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ruby Tan enrolled in Medicare?

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

Which organization bills Medicare for Ruby Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Tan reassigns Medicare benefits to Mcv Associated Physicians (Richmond, VA). The 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 Ruby Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ruby Tan was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.