MINYI TAN MD
NPI 1801039789
Anesthesiology - Pain Medicine in Stony Brook, NY

Q: What is Minyi Tan's NPI number?

The NPI number for Minyi Tan is 1801039789. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Q: What is Minyi Tan's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Minyi Tan was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 08, 2009PECOS Enrolled

3 EDMUND D PELLEGRINO RD, STONY BROOK ANAESTHESIOLOGY - PAIN MANAGEMENT CENTER, STONY BROOK, NY 11794(631) 638-0800(631) 638-0765 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Minyi Tan Md NPPES

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

MINYI TAN MD (NPI 1801039789) is an individual pain medicine provider in Stony Brook, New York, licensed in New York (269249) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2009).

NPPES Registry Identity

NPI1801039789

Entity TypeIndividualFemale

Primary Taxonomy207LP2900X

Provider Legal NameMINYI TANCredential: MD

Location Address3 EDMUND D PELLEGRINO RD, STONY BROOK ANAESTHESIOLOGY - PAIN MANAGEMENT CENTERStony Brook, NY 11794-9464

Mailing AddressPo Box 1554Stony Brook, NY 11790-0988

Phone(631) 638-0800

Fax(631) 638-0765

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2009

Enumeration DateApril 8, 2009

Last NPPES UpdateSeptember 16, 2015

✔ NPI 1801039789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in NY · 269249

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

3 EDMUND D PELLEGRINO RD, Stony Brook, NY 11794

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2769609874

PECOS Enrollment IDI20151028000722

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 Reassignments

Medicare enrollment records show Minyi Tan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Merrick Medical Care PLLC

28 mi

Ambulatory Surgical

1703 MERRICK AVE
Merrick, NY 11566

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1821399981 (516) 378-3380

Gt Medical PC

41 mi

Pain Medicine

9436 58TH AVE # G4
Elmhurst, NY 11373

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1437507779 (347) 947-7692

Newtown Gastroenterology PC

42 mi

Gastroenterology

8710 51ST AVE
Elmhurst, NY 11373

Reassigned Medicare billing, New York enrollment
19 clinicians in this Medicare group

NPI 1134868045 (917) 398-2588

Agi Medical PLLC

50 mi

Specialist

717 56TH ST
Brooklyn, NY 11220

Reassigned Medicare billing, New York enrollment
15 clinicians in this Medicare group

NPI 1730322645 (718) 435-3890

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

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services15 patients

Other Providers at the Same Location NPPES 9

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

MRS. JULIA SCHEUERMANN NP

Nurse Practitioner (Adult Health)