RUBY WAIYEE TAM D.O.
NPI 1194950303
Family Medicine in Crystal, MN

Active since May 18, 2009PECOS Enrolled
5700 BOTTINEAU BLVD, SUITE 100, CRYSTAL, MN 55429(763) 504-6500 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ruby Waiyee Tam D.o. NPPES

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

RUBY WAIYEE TAM D.O. (NPI 1194950303) is an individual family medicine provider in Crystal, Minnesota, licensed in Minnesota (53209) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194950303
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRUBY WAIYEE TAMCredential: D.O.
Location Address5700 BOTTINEAU BLVD, SUITE 100Crystal, MN 55429-3183
Mailing Address5700 Bottineau Blvd, Suite 100Crystal, MN 55429-3183
Sole ProprietorYes
Enumeration DateMay 18, 2009
Last NPPES UpdateSeptember 24, 2012
NPI 1194950303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 53209
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.

5700 BOTTINEAU BLVD, Crystal, MN 55429

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ruby Waiyee Tam D.o. 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 55429 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers23 claims78 services$5.41 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$8.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
5700 BOTTINEAU BLVD, 210
CRYSTAL, MN 55429
Obstetrics & Gynecology
5700 BOTTINEAU BLVD, #210
CRYSTAL, MN 55429
Family Medicine
5700 BOTTINEAU BLVD, SUITE 100
CRYSTAL, MN 55429
Obstetrics & Gynecology
5700 BOTTINEAU BLVD, #210
CRYSTAL, MN 55429
Dietitian, Registered
5700 BOTTINEAU BLVD, SUITE 210
CRYSTAL, MN 55429
Obstetrics & Gynecology
5700 BOTTINEAU BLVD, #210
CRYSTAL, MN 55429
Student in an Organized Health Care Education/Training Program
5700 BOTTINEAU BLVD
CRYSTAL, MN 55429
Family Medicine
5700 BOTTINEAU BLVD, SUITE 100
CRYSTAL, MN 55429

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 Tam's NPI number?

The NPI number for Ruby Tam is 1194950303. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Ruby Tam located?

Ruby Tam practices at 5700 Bottineau Blvd Suite 100, Crystal, MN 55429. The listed phone number is (763) 504-6500.

What is Ruby Tam's specialty?

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

Is Ruby Tam enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ruby Tam was last updated on September 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.