MARY LAN MD
NPI 1245681337
Internal Medicine in Tripler Army Medical Center, HI

Q: What is Mary Lan's NPI number?

The NPI number for Mary Lan is 1245681337. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Q: What is Mary Lan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Lan was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 29, 2016PECOS EnrolledAccepts Medicare Assignment

1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-4049 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2019, Jun 29, 2016 (2 updates tracked since 2016).

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About Mary Lan Md NPPES

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

MARY LAN MD (NPI 1245681337) is an individual internal medicine provider in Tripler Army Medical Center, Hawaii, licensed in Nebraska (30290) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2016).

NPPES Registry Identity

NPI1245681337

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMARY LANCredential: MD

Location Address1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTERTripler Army Medical Center, HI 96859-5001

Mailing Address1 Jarrett White Rd, Tripler Army Medical CenterTripler Army Medical Center, HI 96859-5001

Phone(808) 433-4049

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2016

Enumeration DateJune 29, 2016

Last NPPES UpdateAugust 21, 20192 updates tracked since enumeration

✔ NPI 1245681337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NE · 30290

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 30290 (NE)

1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Lan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082989603

PECOS Enrollment IDI20240718004827

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.

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120001

Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 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

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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.

CORINNE REYES LCSW

Social Worker (Clinical)

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-8785

DANIEL HEILMANN DO

Pediatrics

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-6697

MR. ADRIAN SCOTT WORTHEN M.D.

Internal Medicine

1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (808) 433-4049

DR. JANE ELIZABETH MARSHALL OTD, OTR/L

Occupational Therapist

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (937) 231-3795

TINA WILSON DO

General Practice

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (210) 220-7961

MRS. LASHON SHEREMA WILLIAMS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-8601

DR. NICHOLAS PATRICK MAHER DO

General Practice

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (888) 683-2778

DR. KIMBERLY D DAVIS MD

Ophthalmology

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (808) 471-9998

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 Mary Lan's NPI number?

The NPI number for Mary Lan is 1245681337. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Mary Lan located?

Mary Lan practices at 1 Jarrett White Rd Tripler Army Medical Center, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-4049.

What is Mary Lan's specialty?

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

Is Mary Lan enrolled in Medicare?

Yes. Mary Lan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mary Lan affiliated with any hospitals?

According to CMS data, Mary Lan is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Lan was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.