ANNIE TAN MD NPI 1750470696

NPI Information

  • NPI: 1750470696
  • Provider Name: ANNIE TAN, MD
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11850 BLACKFOOT ST NW
    SUITE 100
    COON RAPIDS, MN
    ZIP 55433
  • Phone: (763) 721-2100

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NPI Details

Annie Tan, MD is a gynecologic oncology obstetrics gynecology in Coon Rapids, MN with 25 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Annie Tan, MD NPI is 1750470696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2000

The provider's business location address is:

11850 BLACKFOOT ST NW
SUITE 100
COON RAPIDS, MN
ZIP 55433-598
Phone: (763) 721-2100
Fax: (763) 721-2190

The NPI 1750470696 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.

  • Immunologic analysis for detection of tumor antigen, quantitative; ca 125 (HCPCS:86304)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Magnesium level (HCPCS:83735)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less (HCPCS:58571)

The enumeration date for this NPI number is 10/11/2006 and was last updated on 9/23/2015.

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
1207VX0201XObstetrics & GynecologyGynecologic Oncology47116MINNESOTAYes

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
1961141050294OTHERMINNESOTAPREFERREDONE
2132945OTHERMINNESOTAUCARE
32368961OTHERMINNESOTAARAZ
4HP53303OTHERMINNESOTAHEALTHPARTNERS
5815T5TAOTHERMINNESOTABCBS
683694-0OTHERMINNESOTAFAIRVIEW
707-05956OTHERMINNESOTAMEDICA

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: 3/30/2025

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