Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LAN Q TA M.D.
NPI 1760619563
Internal Medicine in Melbourne, FL

Q: What is Lan Ta's NPI number?

The NPI number for Lan Ta is 1760619563. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Q: What is Lan Ta's specialty?

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

Q: Is Lan Ta enrolled in Medicare?

Yes. Lan Ta 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.

Q: When was this NPI record last updated?

The NPPES record for Lan Ta was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since June 18, 2009PECOS Enrolled

84.08/100

CMS Quality Rating

1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1771(321) 434-1775 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Jul 19, 2021, Mar 5, 2020 and 5 more (8 updates tracked since 2018).

On this page

About Dr. Lan Q Ta M.d. NPPES

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

DR. LAN Q TA M.D. (NPI 1760619563) is an individual internal medicine provider in Melbourne, Florida, licensed in Florida (ME132166) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1760619563

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. LAN Q TACredential: M.D.

Location Address1350 HICKORY STMelbourne, FL 32901-3224

Mailing Address36800 Winfield CtGrand Island, FL 32735-9131 · (321) 695-4395

Phone(321) 434-1771

Fax(321) 434-1775

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 18, 2009

Last NPPES UpdateAugust 3, 20268 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1760619563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME132166✔ Licensed in MS · 24008✔ Licensed in LA · MD205729

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.

Also ListedHospitalistTaxonomy 208M00000X · License ME132166 (FL), 205729 (LA)

1350 HICKORY ST, Melbourne, FL 32901

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1150 Reynoir StBiloxi, MS 39530-4130 · Phone (228) 392-7760

Location 26564 fleur de lis drive #1New Orleans, LA 70124-1001 · Phone (321) 695-4395

Location 34801 Ambassador Caffery PkwyLafayette, LA 70508-6917 · Phone (337) 470-2605 · Fax (337) 470-4595

Location 47777 Hennessy Blvd Ste 701Baton Rouge, LA 70808-4370 · Phone (225) 765-5864 · Fax (225) 765-2013

Location 5100 Chesterfield Business Pkwy Fl 2Chesterfield, MO 63005-1271 · Phone (203) 666-8145 · Fax (203) 456-9793

Other Identifiers 2

Medicaid100981500FL

OtherJM828FL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CHRISTUS Health Plan, HMO Louisiana 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

Dr. Lan Q Ta 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 ID9234382565

PECOS Enrollment IDI20260612003886

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 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.

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.

26 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

84.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.03

Improvement Activities

Cost

90.55

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.

TOMOR SEDALIU

Hospitalist