MICHAEL CHARLES CHUA TAN MD
NPI 1265895940
Internal Medicine - Clinical Cardiac Electrophysiology in Portland, OR

Q: What is Michael Charles Tan's NPI number?

The NPI number for Michael Charles Tan is 1265895940. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Michael Charles Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment

4400 NE HALSEY ST STE 102, PORTLAND, OR 97213(503) 962-1000 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2024, Jun 19, 2019, Jun 14, 2016 and 1 more (4 updates tracked since 2016).

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About Michael Charles Chua Tan Md NPPES

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

MICHAEL CHARLES CHUA TAN MD (NPI 1265895940) is an individual clinical cardiac electrophysiology provider in Portland, Oregon, licensed in Oregon (MD218431) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1265895940

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameMICHAEL CHARLES CHUA TANCredential: MD

Location Address4400 NE HALSEY ST STE 102Portland, OR 97213-1545

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 962-1000

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2016

Enumeration DateMarch 31, 2016

Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1265895940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in OR · MD218431

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License S1931 (TX)

4400 NE HALSEY ST STE 102, Portland, OR 97213

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Secondary Practice Location 1

Location 19427 SW Barnes Rd Ste 495Portland, OR 97225-6612 · Phone (503) 216-0770

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Michael Charles Chua Tan 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 ID42503104

PECOS Enrollment IDI20240802003083

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

75 services70 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

64 services63 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

42 services40 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

40 services39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services27 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380004

Location9205 SW Barnes RoadPortland, OR 97225 · Washington County

Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380082

Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR

OwnershipVoluntary non-profit - Church

CMS Certification Number381303

Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County

Emergency services Birthing friendly

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381318

Location810 12th StreetHood River, OR 97031 · Hood River County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

MS. NICOLE N RANSBOTTOM AGACNP

Nurse Practitioner (Acute Care)