ANDREW TAN DO
NPI 1487234647
Student in an Organized Health Care Education/Training Program in Providence, RI
About Andrew Tan Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW TAN DO (NPI 1487234647) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Baystate Wing Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Andrew Tan Do 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baystate Wing Hospital
Acute Care Hospitals · Palmer, MAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Andrew Tan's NPI number?
The NPI number for Andrew Tan is 1487234647. It was assigned to this individual provider in the NPPES registry on April 12, 2021.
Where is Andrew Tan located?
Andrew Tan practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 793-2695.
What is Andrew Tan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Andrew Tan enrolled in Medicare?
Yes. Andrew 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 Andrew Tan affiliated with any hospitals?
According to CMS data, Andrew Tan is affiliated with Baystate Wing Hospital.
When was this NPI record last updated?
The NPPES record for Andrew Tan was last updated on January 2, 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.
# Andrew Tan, DO · NPI 1487234647
Student in an Organized Health Care Education/Training Program provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1487234647 (Entity type: Individual)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 793-2695 · **Fax:** (401) 444-4165
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2021
## Record status
- **NPPES last updated:** January 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487234647) · Data from the CMS NPPES public registry.