TAN AND TAN MEDICAL GROUP PROF LLC
NPI 1346198975
Family Medicine in Las Vegas, NV

Active since March 19, 2026
6549 DITMARS ST, LAS VEGAS, NV 89166(725) 236-5674 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tan And Tan Medical Group Prof Llc NPPES

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

TAN AND TAN MEDICAL GROUP PROF LLC (NPI 1346198975) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since March 2026. The organization lists Chiline Joey Tan-birket, President, as its authorized official.

NPPES Registry Identity

NPI1346198975
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTAN AND TAN MEDICAL GROUP PROF LLC
Location Address6549 DITMARS STLas Vegas, NV 89166-8026
Mailing Address6549 Ditmars StLas Vegas, NV 89166-8026 · (725) 236-5674
Organization SubpartNo
Authorized OfficialChiline Joey Tan-birketPresident · (725) 236-5674
Enumeration DateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1346198975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
6549 DITMARS ST, Las Vegas, NV 89166

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tan And Tan Medical Group Prof Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tan And Tan Medical Group Prof LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1689554891
6549 DITMARS ST
Las Vegas, NV 89166
(562) 754-7957
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tan And Tan Medical Group Prof LLC's NPI number?

The NPI number for Tan And Tan Medical Group Prof LLC is 1346198975. It was assigned to this organization in the NPPES registry on March 19, 2026.

Where is Tan And Tan Medical Group Prof LLC located?

Tan And Tan Medical Group Prof LLC is located at 6549 Ditmars St, Las Vegas, NV 89166. The listed phone number is (725) 236-5674.

What is Tan And Tan Medical Group Prof LLC's specialty?

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

Is Tan And Tan Medical Group Prof LLC enrolled in Medicare?

Yes. Tan And Tan Medical Group Prof LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tan And Tan Medical Group Prof LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tan And Tan Medical Group Prof LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tan And Tan Medical Group Prof LLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.