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SALLY Q TAN MD PC
NPI 1437456225
Clinic/Center - Medical Specialty in Oklahoma City, OK

Active since February 14, 2011
1110 N CLASSEN BLVD, SUITE 204, OKLAHOMA CITY, OK 73106(405) 319-1622(405) 319-1575 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sally Q Tan Md Pc NPPES

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

SALLY Q TAN MD PC (NPI 1437456225) is a healthcare organization registered as a medical specialty in Oklahoma City, Oklahoma and active in the NPI registry since February 2011. The organization lists Sally Q. Tan, President, as its authorized official.

NPPES Registry Identity

NPI1437456225
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSALLY Q TAN MD PC
Location Address1110 N CLASSEN BLVD, SUITE 204Oklahoma City, OK 73106-6843
Mailing Address1110 N Classen Blvd, Suite 204Oklahoma City, OK 73106-6843 · (405) 319-1622 · Fax (405) 319-1575
Phone(405) 319-1622
Fax(405) 319-1575
Organization SubpartNo
Authorized OfficialSally Q. TanPresident · (405) 319-1622
Enumeration DateFebruary 14, 2011
✔ NPI 1437456225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in OK · 19992
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1110 N CLASSEN BLVD, Oklahoma City, OK 73106
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Q Tan Md Pc 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 Sally Q Tan MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sally Tan, M.D.
Internal Medicine
NPI 1699887331
1110 N CLASSEN BLVD SUITE 204
Oklahoma City, OK 73106
(405) 319-1622
✔ 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 Sally Q Tan MD PC's NPI number?

The NPI number for Sally Q Tan MD PC is 1437456225. It was assigned to this organization in the NPPES registry on February 14, 2011.

Where is Sally Q Tan MD PC located?

Sally Q Tan MD PC is located at 1110 N Classen Blvd Suite 204, Oklahoma City, OK 73106. The listed phone number is (405) 319-1622.

What is Sally Q Tan MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Sally Q Tan MD PC enrolled in Medicare?

Yes. Sally Q Tan MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sally Q Tan MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sally Q Tan MD PC. 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 Sally Q Tan MD PC was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.