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TONY TAN
NPI 1972998391
Physician Assistant in Las Vegas, NV

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
4835 S DURANGO DR, LAS VEGAS, NV 89147(702) 877-5199 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tony Tan NPPES

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

TONY TAN (NPI 1972998391) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA0310) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972998391
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTONY TAN
Location Address4835 S DURANGO DRLas Vegas, NV 89147-8171
Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 877-8600
Phone(702) 877-5199
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 2, 2015
Last NPPES UpdateJune 7, 2016
✔ NPI 1972998391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA0310
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4835 S DURANGO DR, Las Vegas, NV 89147
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Other Identifiers 2

Medicaid1972998391NV
Medicare PINV110549NV

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

Tony Tan 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 ID1052631355
PECOS Enrollment IDI20150528001532
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 89147 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 18

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

DR. MICHELLE H VANDENBOSCH MD
Family Medicine
4835 S DURANGO DR
LAS VEGAS, NV 89147
Clark County (702) 877-5199
DR. BLESSING NNENNA ENUDU MD
Family Medicine
4835 S DURANGO DR
LAS VEGAS, NV 89147
Clark County (702) 877-5199
THOMAS KAM YUEN WONG
Pharmacist
4835 S DURANGO DR
LAS VEGAS, NV 89147
Clark County (702) 876-0534
LALBHAI PATEL
Pharmacist
4835 S DURANGO DR
LAS VEGAS, NV 89147
Clark County (702) 876-0534
KRISTYN CISILINO FNP-BC
Nurse Practitioner (Family)
4835 S DURANGO DR
LAS VEGAS, NV 89147
Clark County (702) 877-5199
LING YI OBRAND MD
Internal Medicine
4835 S DURANGO DR
LAS VEGAS, NV 89147
Clark County (702) 877-5153
WENDY L MARTINEZ APRN
Nurse Practitioner
4835 S DURANGO DR
LAS VEGAS, NV 89147
Clark County (702) 877-5199
JADE WEEKS PA-C
Physician Assistant
4835 S DURANGO DR
LAS VEGAS, NV 89147
Clark County (702) 877-5199

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 Tony Tan's NPI number?

The NPI number for Tony Tan is 1972998391. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Tony Tan located?

Tony Tan practices at 4835 S Durango Dr, Las Vegas, NV 89147. The listed phone number is (702) 877-5199.

What is Tony Tan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tony Tan enrolled in Medicare?

Yes. Tony Tan 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 Tony Tan was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.