CHUNG NING TAN MD
NPI 1619357779
Family Medicine in Fort Wayne, IN

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
90.21/100
CMS Quality Rating
7230 ENGLE RD, FORT WAYNE, IN 46804(260) 234-5400(260) 234-5410 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2022, Aug 26, 2021, Aug 29, 2018 (3 updates tracked since 2018).

About Chung Ning Tan Md NPPES

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

CHUNG NING TAN MD (NPI 1619357779) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01077240A) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619357779
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHUNG NING TANCredential: MD
Location Address7230 ENGLE RDFort Wayne, IN 46804
Mailing Address1200 W White River Blvd, Provider Enrollment DepartmentMuncie, IN 47303-4988 · (260) 234-5400
Fax(260) 234-5410
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1619357779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 01077240A Licensed in IN · 11018187
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.

7230 ENGLE RD, Fort Wayne, IN 46804

Secondary Practice Locations 2

Location 1750 Broadway Ste 350Fort Wayne, IN 46802-1412 · Phone (260) 423-2675 · Fax (260) 422-4326
Location 23909 New Vision DrFort Wayne, IN 46845-1725 · Phone (260) 469-6610

Other Identifiers 2

Other000001176909IN · Anthem Bcbs
Medicaid201297950IN

Accepted 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

Chung Ning Tan Md 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 ID1052623394
PECOS Enrollment IDI20161017000359
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
118 services115 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.
56 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
29 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

90.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.75
Promoting Interoperability100
Improvement Activities40
Cost69.59

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Psychologist (Clinical)
7230 ENGLE RD, STE 304
FORT WAYNE, IN 46804
Medical Genetics (Clinical Genetics (M.D.))
7230 ENGLE RD
FORT WAYNE, IN 46804
Family Medicine
7230 ENGLE RD
FORT WAYNE, IN 46804
Dentist (Oral and Maxillofacial Surgery)
7230 ENGLE RD, SUITE 301
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7230 ENGLE RD, SUITE 210
FORT WAYNE, IN 46804

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 Chung Ning Tan's NPI number?

The NPI number for Chung Ning Tan is 1619357779. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Chung Ning Tan located?

Chung Ning Tan practices at 7230 Engle Rd, Fort Wayne, IN 46804. The listed phone number is (260) 234-5400.

What is Chung Ning Tan's specialty?

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

Is Chung Ning Tan enrolled in Medicare?

Yes. Chung Ning 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 Chung Ning Tan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Chung Ning 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 Chung Ning Tan affiliated with any hospitals?

According to CMS data, Chung Ning Tan is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, Parkview Huntington Hospital and Parkview Whitley Hospital.

When was this NPI record last updated?

The NPPES record for Chung Ning Tan was last updated on October 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.