SOVANNARY TAN
NPI 1326397431
Registered Nurse in Bronx, NY
About Sovannary Tan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOVANNARY TAN (NPI 1326397431) is an individual registered nurse in Bronx, New York, licensed in New York (57020) and active in the NPI registry since September 2012. She is affiliated with Arnot Ogden Medical Center and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sovannary Tan 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.
Medicare Billing Reassignments
5Medicare enrollment records show Sovannary Tan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 163 clinicians in this Medicare group
Johnson City, NY 13790
- Reassigned Medicare billing, New York enrollment
- 854 clinicians in this Medicare group
Sayre, PA 18840
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 798 clinicians in this Medicare group
Elmira, NY 14905
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Associated Anesthesiologists Of The Finger Lakes LLP
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Arnot Ogden Medical Center
Acute Care Hospitals · Elmira, NYUnited Health Services Hospitals, Inc
Acute Care Hospitals · Binghamton, NYMedicare 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10467
BRONX, NY 10467
BRONX, NY 10467
BRONX, NY 10467
BRONX, NY 10467
BRONX, NY 10467
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 Sovannary Tan's NPI number?
The NPI number for Sovannary Tan is 1326397431. It was assigned to this individual provider in the NPPES registry on September 5, 2012.
Where is Sovannary Tan located?
Sovannary Tan practices at 111 E 210th Street, Bronx, NY 10467. The listed phone number is (718) 920-4316.
What is Sovannary Tan's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Sovannary Tan enrolled in Medicare?
Yes. Sovannary 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.
Which organizations bill Medicare for Sovannary Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sovannary Tan reassigns Medicare benefits to 5 organizations: Montefiore Medical Center (Bronx, NY), Jamaica Anesthesiologist, PC (Jamaica, NY), United Health Services Hospitals, Inc. (Johnson City, NY), Guthrie Medical Group, P.C. (Sayre, PA) and Associated Anesthesiologists Of The Finger Lakes, L.L.P. (Elmira, NY). Each 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 Sovannary Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sovannary Tan affiliated with any hospitals?
According to CMS data, Sovannary Tan is affiliated with Arnot Ogden Medical Center and United Health Services Hospitals, Inc.
When was this NPI record last updated?
The NPPES record for Sovannary Tan was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Sovannary Tan · NPI 1326397431
Registered Nurse provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since September 5, 2012.
## Identity
- **NPI:** 1326397431 (Entity type: Individual)
- **Enumerated:** September 5, 2012
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** 57020 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH STREET, Bronx, NY 10467
- **Phone:** (718) 920-4316
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Montefiore Medical Center (NPI 1063525152, Bronx, NY); Jamaica Anesthesiologist, PC (NPI 1508812892, Jamaica, NY); United Health Services Hospitals, Inc. (NPI 1962463851, Johnson City, NY); Guthrie Medical Group, P.C. (NPI 1245246644, Sayre, PA); Associated Anesthesiologists Of The Finger Lakes, L.L.P. (NPI 1285684373, Elmira, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 5, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1326397431) · Data from the CMS NPPES public registry.