DR. CHANGTAI TIAN MD
NPI 1871171561
Internal Medicine - Hematology & Oncology in Stony Brook, NY

Q: What is Changtai Tian's NPI number?

The NPI number for Changtai Tian is 1871171561. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Changtai Tian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Changtai Tian was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 01, 2021PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Jun 11, 2021, Apr 1, 2021 (3 updates tracked since 2021).

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About Dr. Changtai Tian Md NPPES

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

DR. CHANGTAI TIAN MD (NPI 1871171561) is an individual hematology & oncology provider in Stony Brook, New York, licensed in Illinois (125-077594) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1871171561

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. CHANGTAI TIANCredential: MD

Location Address101 NICOLLS RDStony Brook, NY 11794-3806

Mailing Address101 Nicolls RdStony Brook, NY 11794-8434

Phone(631) 689-8333

Sole ProprietorNo

Enumeration DateApril 1, 2021

Last NPPES UpdateJune 19, 20243 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1871171561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in IL · 125-077594

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.077594 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 NICOLLS RD, Stony Brook, NY 11794

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Secondary Practice Location 1

Location 1600 S Paulina St Ste 403Chicago, IL 60612-3806 · Phone (312) 942-7100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Changtai 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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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.

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