SARADY TAN M.D., M.S., M.P.H.
NPI 1497774319
Family Medicine in Jb Andrews, MD

Q: What is Sarady Tan's NPI number?

The NPI number for Sarady Tan is 1497774319. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Sarady Tan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sarady Tan was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 19, 2006PECOS Enrolled

1060 W PERIMETER RD, JB ANDREWS, MD 20762(703) 697-3255 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2022, Jul 24, 2019 (2 updates tracked since 2019).

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About Sarady Tan M.d., M.s., M.p.h. NPPES

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

SARADY TAN M.D., M.S., M.P.H. (NPI 1497774319) is an individual family medicine provider in Jb Andrews, Maryland, licensed in California (G79601) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Oregon Health Sciences University School Of Medicine (1993).

NPPES Registry Identity

NPI1497774319

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSARADY TANCredential: M.D., M.S., M.P.H.

Location Address1060 W PERIMETER RDJb Andrews, MD 20762-6602

Mailing Address1060 W Perimeter RdJb Andrews, MD 20762-6602 · (703) 697-3255

Phone(703) 697-3255

Sole ProprietorYes

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1993

Enumeration DateJuly 19, 2006

Last NPPES UpdateJune 9, 20222 updates tracked since enumeration

NPPES CertifiedJune 9, 2022

✔ NPI 1497774319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G79601

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.

Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License G79601 (CA)

Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License G79601 (CA)

1060 W PERIMETER RD, Jb Andrews, MD 20762

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Secondary Practice Locations 2

Location 11100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · Phone (210) 292-3440

Location 2340 MAGNOLIA CIRCLE, ATTN: CREDENTIALSTYNDALL AFB, FL 32444 · Phone (850) 283-7718 · Fax (850) 283-7795

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarady Tan M.d., M.s., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315171543

PECOS Enrollment IDI20260505000426

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20762 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Other Providers at the Same Location NPPES 20

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

CHELSEA BIANCA PAYNE M.D.

Family Medicine