ANDREW TAI
NPI 1902365760
Internal Medicine - Cardiovascular Disease in San Rafael, CA

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-4620 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2025, Mar 19, 2019 (2 updates tracked since 2019).

About Andrew Tai NPPES

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

ANDREW TAI (NPI 1902365760) is an individual cardiovascular disease provider in San Rafael, California, licensed in California (A179890) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2019).

NPPES Registry Identity

NPI1902365760
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameANDREW TAI
Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308
Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1902365760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A179890
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
99 MONTECILLO RD, San Rafael, CA 94903

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

Andrew Tai 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 ID2769921485
PECOS Enrollment IDI20251021003019
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 94903 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
$154.04 typical visit price
range $69.07 – $202.63
Typical copayment $38.51 (range $17.26 – $50.65)
Most-billed visit code 99204
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Dermatology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Anesthesiology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Radiology (Diagnostic Radiology)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Hospitalist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Speech-Language Pathologist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Internal Medicine
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Nurse Anesthetist, Certified Registered
99 MONTECILLO RD
SAN RAFAEL, CA 94903

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 Andrew Tai's NPI number?

The NPI number for Andrew Tai is 1902365760. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Andrew Tai located?

Andrew Tai practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-4620.

What is Andrew Tai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Andrew Tai enrolled in Medicare?

Yes. Andrew Tai 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.

When was this NPI record last updated?

The NPPES record for Andrew Tai was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.