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

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
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: November 01, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1340 MAGNOLIA CIRCLE, ATTN: CREDENTIALSTYNDALL AFB, FL 32444 · Phone (850) 283-7718 · Fax (850) 283-7795
Location 21100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · Phone (210) 292-3440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarady Tan M.d., M.s., M.p.h. 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 ID7315171543
PECOS Enrollment IDI20260505000426, I20260814004499
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.

Medicare Billing Reassignment

Medicare enrollment records show Sarady Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coquille Indian Tribe
2,461 mi
Clinic/Center
630 MILUK DR
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon and Texas enrollments
  • 20 clinicians in this Medicare group
NPI 1376592287 (541) 888-9494

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (907) 377-6722
MS. PATRICIA BANASZEK HAZARD CRNP
Nurse Practitioner (Obstetrics & Gynecology)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
MR. KOMI VENUNYE GAYAKPA IDC
Military Health Care Provider (Independent Duty Corpsman)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (651) 354-8825
AMANDA MARIE HAWKINS MD
Obstetrics & Gynecology
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
DR. JULIE ANN BANTA PT, DPT, FAAOMPT
Physical Therapist
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-2464
DR. SUBODH ARORA MD
Pediatrics
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (301) 404-9046
GWENYTH FIFIELD DMD
Dentist
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (603) 707-7502
MR. JEREMY TROY POWELL PA-C
Physician Assistant
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1143

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 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.

Where is Sarady Tan located?

Sarady Tan practices at 1060 W Perimeter Rd, Jb Andrews, MD 20762. The listed phone number is (703) 697-3255.

What is Sarady Tan's specialty?

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

Is Sarady Tan enrolled in Medicare?

Yes. Sarady 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.

Which organization bills Medicare for Sarady Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarady Tan reassigns Medicare benefits to Coquille Indian Tribe (Coos Bay, OR). The 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 Sarady Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarady Tan accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Sarady Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.