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

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: July 26, 2026.

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
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

Medicare Participation & PECOS CMS

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

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.

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.

Nurse Practitioner (Adult Health)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Radiology (Diagnostic Radiology)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Pediatrics (Pediatric Hematology-Oncology)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Dietitian, Registered
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Radiology (Diagnostic Radiology)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Surgery
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794

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 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.

Where is Minyi Tan located?

Minyi Tan practices at 3 Edmund D Pellegrino Rd Stony Brook Anaesthesiology - Pain Management Center, Stony Brook, NY 11794. The listed phone number is (631) 638-0800.

What is Minyi Tan's specialty?

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

Is Minyi Tan enrolled in Medicare?

Yes. Minyi Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

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