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DR. SALLY QUE POA TAN M.D.
NPI 1699887331
Internal Medicine in Oklahoma City, OK

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1110 N CLASSEN BLVD, SUITE 204, OKLAHOMA CITY, OK 73106(405) 319-1622 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Sally Que Poa Tan M.d. NPPES

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

DR. SALLY QUE POA TAN M.D. (NPI 1699887331) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (19992) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1699887331
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SALLY QUE POA TANCredential: M.D.
Location Address1110 N CLASSEN BLVD, SUITE 204Oklahoma City, OK 73106-6843
Mailing Address16804 Shorerun DrEdmond, OK 73003-8431 · (405) 359-6640
Phone(405) 319-1622
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699887331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 19992
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.
1110 N CLASSEN BLVD, Oklahoma City, OK 73106
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Other Identifiers 1

Medicare UPING38467OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Dr. Sally Que Poa 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 ID2961684147
PECOS Enrollment IDI20110309000389
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 Sally Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sally Q Tan MD PC
Same address
Medical Specialty
1110 N CLASSEN BLVD, SUITE 204
Oklahoma City, OK 73106
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1437456225 (405) 319-1622

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

Areas of Expertise CMS Part B claims 2

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.
50 services39 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.
46 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370094
Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County
Emergency services

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73106 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims25 services$6.07 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers22 claims22 services$28.23 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers14 claims76 services$14.85 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers18 claims18 services$42.08 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers17 claims17 services$12.90 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
9 suppliers24 claims136 services$1.55 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 6

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

DR. JAMES MILTON JOHNSTON MD
Internal Medicine
1110 N CLASSEN BLVD, SUITE 300
OKLAHOMA CITY, OK 73106
Oklahoma County (405) 236-3736
RICHARD C GREYSON MD
Internal Medicine
1110 N CLASSEN BLVD, SUITE 301
OKLAHOMA CITY, OK 73106
Oklahoma County (405) 232-2702
SALLY Q TAN MD PC
Clinic/Center (Medical Specialty)
1110 N CLASSEN BLVD, SUITE 204
OKLAHOMA CITY, OK 73106
Oklahoma County (405) 319-1622
CLASSEN MEDICAL CENTER PLLC
Internal Medicine (Cardiovascular Disease)
1110 N CLASSEN BLVD, SUITE 300
OKLAHOMA CITY, OK 73106
Oklahoma County (405) 236-3736
HEALTHFIRST PHYSICIANS MANAGEMENT SERVICES, INC
Hospitalist
1110 N CLASSEN BLVD, SUITE 100
OKLAHOMA CITY, OK 73106
Oklahoma County (405) 272-7452
DR. MARIA MONINA KANE M.D.
Psychiatry & Neurology (Psychiatry)
1110 N CLASSEN BLVD, SUITE 318
OKLAHOMA CITY, OK 73106
Oklahoma County (405) 232-5453

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 Sally Tan's NPI number?

The NPI number for Sally Tan is 1699887331. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Sally Tan located?

Sally Tan practices at 1110 N Classen Blvd Suite 204, Oklahoma City, OK 73106. The listed phone number is (405) 319-1622.

What is Sally Tan's specialty?

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

Is Sally Tan enrolled in Medicare?

Yes. Sally 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 Sally Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Tan reassigns Medicare benefits to Sally Q Tan MD PC (Oklahoma City, OK). 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 Sally Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sally Tan accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Sally 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 Sally Tan affiliated with any hospitals?

According to CMS data, Sally Tan is affiliated with Integris Baptist Medical Center, Inc, Ssm Health St Anthony Hospital - Oklahoma City, O U Medical Center, Ssm Health St Anthony Hospital - Midwest and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Sally Tan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.