DR. ELIZABETH LISTIANI TAN M.D.
NPI 1346210077
Radiology - Diagnostic Radiology in Mount Laurel, NJ

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
204 ARK RD, MOUNT LAUREL, NJ 08054(856) 866-8102 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Elizabeth Listiani Tan M.d. NPPES

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

DR. ELIZABETH LISTIANI TAN M.D. (NPI 1346210077) is an individual diagnostic radiology provider in Mount Laurel, New Jersey, licensed in New Jersey (25MA08161200) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Albany Medical College Of Union University (1993).

NPPES Registry Identity

NPI1346210077
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ELIZABETH LISTIANI TANCredential: M.D.
Location Address204 ARK RDMount Laurel, NJ 08054-3100
Mailing Address1295 Route 38, Po Box 479Hainesport, NJ 08036-2702 · (609) 914-7017
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1993
Enumeration DateJanuary 25, 2006
Last NPPES UpdateMarch 19, 2013
NPI 1346210077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NJ · 25MA08161200
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
204 ARK RD, Mount Laurel, NJ 08054

Other Identifiers 2

Medicaid0017419190001PA
Medicaid0129267NJ

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

Dr. Elizabeth Listiani 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 ID1355443375
PECOS Enrollment IDI20070222000256, I20101111000749
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 46

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
1,920 services21 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
626 services490 patients
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.
161 services156 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
113 services113 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
97 services95 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
62 services61 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%173 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Otolaryngology
204 ARK RD, SUITE 102
MOUNT LAUREL, NJ 08054
Orthopaedic Surgery
204 ARK RD, SUITE 105
MOUNT LAUREL, NJ 08054
Internal Medicine (Sleep Medicine)
204 ARK RD, STE 206 LMCI
MOUNT LAUREL, NJ 08054
Internal Medicine (Pulmonary Disease)
204 ARK RD, STE 206 LMC I
MOUNT LAUREL, NJ 08054
Family Medicine
204 ARK RD, SUITE 103
MOUNT LAUREL, NJ 08054
Nurse Practitioner (Adult Health)
204 ARK RD, SUITE 103
MOUNT LAUREL, NJ 08054
Family Medicine
204 ARK RD, SUITE 103
MOUNT LAUREL, NJ 08054
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
204 ARK RD, SUITE 105
MOUNT LAUREL, NJ 08054

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 Elizabeth Tan's NPI number?

The NPI number for Elizabeth Tan is 1346210077. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Elizabeth Tan located?

Elizabeth Tan practices at 204 Ark Rd, Mount Laurel, NJ 08054. The listed phone number is (856) 866-8102.

What is Elizabeth Tan's specialty?

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

Is Elizabeth Tan enrolled in Medicare?

Yes. Elizabeth 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.

Is Elizabeth Tan affiliated with any hospitals?

According to CMS data, Elizabeth Tan is affiliated with Jefferson Health- Northeast and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Tan was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.