1. Home
  2. Directory
  3. Washington
  4. Issaquah
  5. Internal Medicine
  6. NPI Profile

ALICE HYUN-KYUNG TAN MD
NPI 1164144549
Internal Medicine in Issaquah, WA

Active since September 13, 2022PECOS Enrolled
18700 SE 65TH PL, ISSAQUAH, WA 98027(425) 270-0648 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Alice Hyun-kyung Tan Md NPPES

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

ALICE HYUN-KYUNG TAN MD (NPI 1164144549) is an individual internal medicine provider in Issaquah, Washington, licensed in Washington (61094526) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164144549
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALICE HYUN-KYUNG TANCredential: MD
Location Address18700 SE 65TH PLIssaquah, WA 98027-8668
Mailing Address18700 Se 65th PlIssaquah, WA 98027-8668 · (425) 270-0648
Phone(425) 270-0648
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1164144549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · 61094526
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18700 SE 65TH PL, Issaquah, WA 98027
Open in Google Maps ↗

Other Identifiers 1

Other61094526WA · Washington State Credential

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Hyun-kyung Tan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284193715
PECOS Enrollment IDI20260826000355
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 Alice Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christian Family Care Inc
20 mi
Primary Care
33507 9TH AVE S, BUILDING A
Federal Way, WA 98003
  • Reassigned Medicare billing, Washington enrollment
  • 11 clinicians in this Medicare group
NPI 1528196052 (253) 874-5404

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 98027 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
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.

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 Alice Tan's NPI number?

The NPI number for Alice Tan is 1164144549. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Alice Tan located?

Alice Tan practices at 18700 SE 65th Pl, Issaquah, WA 98027. The listed phone number is (425) 270-0648.

What is Alice Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alice Tan enrolled in Medicare?

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

Which organization bills Medicare for Alice Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Tan reassigns Medicare benefits to Christian Family Care Inc (Federal Way, WA). 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 Alice Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alice Tan accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Alice Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alice Tan was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.