DR. KEVIN CHARLES TAN MD
NPI 1669165809
Emergency Medicine in Philadelphia, PA

Q: What is Kevin Tan's NPI number?

The NPI number for Kevin Tan is 1669165809. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Q: What is Kevin Tan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Tan was last updated on May 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2023PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-5030(215) 707-3494 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2026, Jun 2, 2023 (2 updates tracked since 2023).

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About Dr. Kevin Charles Tan Md NPPES

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

DR. KEVIN CHARLES TAN MD (NPI 1669165809) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD493317) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2023).

NPPES Registry Identity

NPI1669165809

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. KEVIN CHARLES TANCredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105 · (215) 707-3911

Phone(215) 707-5030

Fax(215) 707-3494

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2023

Enumeration DateJune 2, 2023

Last NPPES UpdateMay 11, 20262 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1669165809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in PA · MD493317

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3401 N BROAD ST, Philadelphia, PA 19140

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Charles Tan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436517414

PECOS Enrollment IDI20260507001414

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 19140 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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