DR. KATHY SHAOBING TAN M.D.
NPI 1477521409
Internal Medicine in Brooklyn, NY

Q: What is Kathy Tan's NPI number?

The NPI number for Kathy Tan is 1477521409. It was assigned to this individual provider in the NPPES registry on March 8, 2006. The provider is also known as Shaobing Tan.

Q: What is Kathy Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Tan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 08, 2006PECOS EnrolledCLIA 33D2005363 · Waiver

5324 7TH AVE, BROOKLYN, NY 11220(718) 686-6888(718) 686-6887 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kathy Shaobing Tan M.d. NPPES

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

DR. KATHY SHAOBING TAN M.D. (NPI 1477521409) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (233820) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through February 8, 2028.

NPPES Registry Identity

NPI1477521409

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. KATHY SHAOBING TANCredential: M.D.

Location Address5324 7TH AVEBrooklyn, NY 11220-3121

Mailing Address5324 7th AveBrooklyn, NY 11220-3121 · (718) 686-6888 · Fax (718) 686-6887

Phone(718) 686-6888

Fax(718) 686-6887

Sole ProprietorYes

Enumeration DateMarch 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477521409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 233820

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5324 7TH AVE, Brooklyn, NY 11220

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Other Names 1

Former Name (1)Shaobing Tan

Other Identifiers 3

Medicare ID-Type Unspecified047SA1NY

Medicaid02590807NY

Medicare UPINI19914NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathy Shaobing Tan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2005363

Kathy Tan Medical Office LLC · Brooklyn, NY

Active · expires Feb 8, 2028

CLIA Number33D2005363

Laboratory TypePhysician Office

Certificate Effective DateFebruary 9, 2026

Certificate Expiration DateFebruary 8, 2028

Laboratory DirectorDr. Kathy S. Tan

Laboratory Phone(718) 686-6888

Laboratory LocationKathy Tan Medical Office LLC5314 7th Avenue Fl 1, Brooklyn, NY 11220

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

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

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%64 patients5/55-star benchmark: 100%

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.

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 Kathy Tan's NPI number?

The NPI number for Kathy Tan is 1477521409. It was assigned to this individual provider in the NPPES registry on March 8, 2006. The provider is also known as Shaobing Tan.

Where is Kathy Tan located?

Kathy Tan practices at 5324 7th Ave, Brooklyn, NY 11220. The listed phone number is (718) 686-6888.

What is Kathy Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kathy Tan enrolled in Medicare?

Yes. Kathy Tan is registered in the Medicare PECOS enrollment system.

Does Kathy Tan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2005363) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kathy Tan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.