CHUN WANG Y TAN MD NPI 1104825785

NPI Information

  • NPI: 1104825785
  • Provider Name: CHUN WANG Y TAN, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1808 HIGHWAY 97 E
    JOURDANTON, TX
    ZIP 78026
  • Phone: (830) 569-4003

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NPI Details

Chun Wang Y Tan, MD is a cardiovascular disease internal medicine in Jourdanton, TX with 38 years of experience. The provider is 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. Chun Wang Y Tan, MD NPI is 1104825785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1808 HIGHWAY 97 E
JOURDANTON, TX
ZIP 78026-535
Phone: (830) 569-4003
Fax: (830) 569-4001

The NPI 1104825785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) (HCPCS:93017)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS:A9500)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Heart rhythm recording of continous external ekg over 8-15 days (HCPCS:93246)
  • Blood test, clotting time (HCPCS:85610)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Electrocardiogram (ecg) 2-day continuous (HCPCS:93225)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 7/18/2005 and was last updated on 10/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseK3862TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18K2308MEDICARE PINTEXAS
28G9388OTHERTEXASBCBS
38028M0MEDICARE PINTEXAS
4037007403MEDICAIDTEXAS
58028M0OTHERTEXASBCBS
6037007401MEDICAIDTEXAS
7G61387MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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