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JIAHUAI TAN M.D.
NPI 1578891503
Internal Medicine in Mount Vernon, NY

Active since December 02, 2009PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
12 N 7TH AVE, MOUNT VERNON, NY 10550(914) 664-8000 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jiahuai Tan M.d. NPPES

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

JIAHUAI TAN M.D. (NPI 1578891503) is an individual internal medicine provider in Mount Vernon, New York, licensed in Michigan (4301095561) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Tishomingo Health Services Inc, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1578891503
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJIAHUAI TANCredential: M.D.
Location Address12 N 7TH AVEMount Vernon, NY 10550-2026
Mailing Address7 N 9th Ave # B1Mount Vernon, NY 10550-1916
Phone(914) 664-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 2, 2009
✔ NPI 1578891503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301095561
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.
12 N 7TH AVE, Mount Vernon, NY 10550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Jiahuai Tan M.d. 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 ID4082855598
PECOS Enrollment IDI20130725000854
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.

Areas of Expertise CMS Part B claims 9

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
1,446 services722 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
581 services161 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
385 services354 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
74 services71 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
68 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services49 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tishomingo Health Services Inc

Acute Care Hospitals · Iuka, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250002
Location1777 Curtis DriveIuka, MS 38852 · Tishomingo County
Emergency services

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250009
Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County
Emergency services Birthing friendly

North Mississippi Medical Center-Gilmore Amory

Acute Care Hospitals · Amory, MS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number250025
Location1105 Earl Frye BlvdAmory, MS 38821 · Monroe County
Emergency services Birthing friendly

Clay County Medical Corporation

Acute Care Hospitals · West Point, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250067
Location150 Medical Center DriveWest Point, MS 39773 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10550 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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

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.

DR. CHIH-TANG CHANG
Specialist
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 660-8000
ARTHUR H. ELKIND,M.D.,P.C.
Clinic/Center
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 667-2230
MONTEFIORE MOUNT VERNON HOSPITAL
General Acute Care Hospital
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 664-8000
KENNETH R DEE MD
Radiology (Diagnostic Radiology)
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (952) 595-1100
MR. ALAN PESCHIERA RPH
Pharmacist
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 361-6087
SUZANA PATEL PHARM D
Pharmacist
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 361-6087
DR. BALASA L PRASAD MD
Anesthesiology
12 N 7TH AVE, ANESTHESIA DEPT - 4TH FLOOR
MOUNT VERNON, NY 10550
Westchester County (914) 667-8136
SHARON DEGANI
Registered Nurse (Psychiatric/Mental Health)
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 361-7232

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 Jiahuai Tan's NPI number?

The NPI number for Jiahuai Tan is 1578891503. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Jiahuai Tan located?

Jiahuai Tan practices at 12 N 7th Ave, Mount Vernon, NY 10550. The listed phone number is (914) 664-8000.

What is Jiahuai Tan's specialty?

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

Is Jiahuai Tan enrolled in Medicare?

Yes. Jiahuai 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.

What insurance does Jiahuai Tan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Jiahuai 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.

Is Jiahuai Tan affiliated with any hospitals?

According to CMS data, Jiahuai Tan is affiliated with Tishomingo Health Services Inc, North Mississippi Medical Center, Magnolia Regional Health Center, North Mississippi Medical Center-Gilmore Amory and Clay County Medical Corporation.

When was this NPI record last updated?

The NPPES record for Jiahuai Tan was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.