KENNETH TAN TAN M.D.
NPI 1306008834
Radiology - Diagnostic Radiology in San Diego, CA

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
79.78/100
CMS Quality Rating
5820 OBERLIN DR, STE. 205, SAN DIEGO, CA 92121(877) 570-8362(877) 570-8362 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 16, 2020, Jan 22, 2017 (2 updates tracked since 2017).

About Kenneth Tan Tan M.d. NPPES

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

KENNETH TAN TAN M.D. (NPI 1306008834) is an individual diagnostic radiology provider in San Diego, California, licensed in Texas (J6262) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1988).

NPPES Registry Identity

NPI1306008834
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKENNETH TAN TANCredential: M.D.
Location Address5820 OBERLIN DR, STE. 205San Diego, CA 92121-3742
Mailing Address3455 S Nogales St, Ste 140West Covina, CA 91792-5104 · (626) 861-3131
Fax(877) 570-8362
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1988
Enumeration DateJune 26, 2008
Last NPPES UpdateDecember 16, 20202 updates tracked since enumeration
NPPES CertifiedDecember 16, 2020
NPI 1306008834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in TX · J6262 Licensed in GU · M-2019
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5820 OBERLIN DR, San Diego, CA 92121

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

Kenneth Tan Tan M.d. 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 ID1153485438
PECOS Enrollment IDI20120501000037
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 39

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
1,298 services1,258 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
301 services293 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
193 services193 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
165 services165 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
127 services127 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
124 services122 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.45
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
5820 OBERLIN DR
SAN DIEGO, CA 92121
Radiology (Diagnostic Radiology)
5820 OBERLIN DR, SUITE 205
SAN DIEGO, CA 92121
Radiology (Diagnostic Radiology)
5820 OBERLIN DR, SUITE 205
SAN DIEGO, CA 92121
Chiropractor
5820 OBERLIN DR, SUITE 204
SAN DIEGO, CA 92121
Dentist (General Practice)
5820 OBERLIN DR, SUITE 109
SAN DIEGO, CA 92121

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 Kenneth Tan's NPI number?

The NPI number for Kenneth Tan is 1306008834. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Kenneth Tan located?

Kenneth Tan practices at 5820 Oberlin Dr Ste. 205, San Diego, CA 92121. The listed phone number is (877) 570-8362.

What is Kenneth Tan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kenneth Tan enrolled in Medicare?

Yes. Kenneth Tan 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.

When was this NPI record last updated?

The NPPES record for Kenneth Tan was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.