ELLI YANG TIAN MD
NPI 1770232803
Student in an Organized Health Care Education/Training Program in El Paso, TX

Active since March 23, 2022PECOS Enrolled
4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-5020 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 14, 2023, Jun 8, 2023 (2 updates tracked since 2023).

About Elli Yang Tian Md NPPES

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

ELLI YANG TIAN MD (NPI 1770232803) is an individual student in an organized health care education/training program in El Paso, Texas, licensed in Texas (BP10085735) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1770232803
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLI YANG TIANCredential: MD
Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707
Mailing Address4801 Alberta AveEl Paso, TX 79905-2707 · (915) 215-5020
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
NPI 1770232803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in TX · BP10085735
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4801 ALBERTA AVE, El Paso, TX 79905

Secondary Practice Location 1

Location 11701 W Charleston Blvd Ste 490Las Vegas, NV 89102-2309 · Phone (702) 671-2273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elli Yang Tian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Nurse Practitioner (Family)
4801 ALBERTA AVE
EL PASO, TX 79905
Internal Medicine (Gastroenterology)
4801 ALBERTA AVE
EL PASO, TX 79905
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
Emergency Medicine
4801 ALBERTA AVE, STE. B3200
EL PASO, TX 79905
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905

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 Elli Tian's NPI number?

The NPI number for Elli Tian is 1770232803. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Elli Tian located?

Elli Tian practices at 4801 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 215-5020.

What is Elli Tian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elli Tian enrolled in Medicare?

Yes. Elli Tian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elli Tian was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.