Sidhartha Tan, MD
NPI 1154480630 · Neonatal-Perinatal Medicine Physician · Detroit, MI
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sidhartha Tan, MD is a Neonatal-Perinatal Medicine Physician provider in Detroit, MI (NPI 1154480630).
Provider details
- NPI number
- 1154480630
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301109000 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2016-03-01
Frequently asked questions
- What is Sidhartha Tan's NPI number?
- Sidhartha Tan's National Provider Identifier (NPI) is 1154480630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sidhartha Tan's specialty?
- Sidhartha Tan is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sidhartha Tan located?
- Sidhartha Tan's practice location on file with NPPES is 3901 Beaubien, Detroit, MI 48201.
- What is Sidhartha Tan's phone number?
- The practice phone number listed in the NPPES registry for Sidhartha Tan is (313) 745-4405.
- Does Sidhartha Tan accept Medicare?
- Sidhartha Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sidhartha Tan's NPI active?
- Yes — Sidhartha Tan's NPI (1154480630) is active in the NPPES registry as of the last update on 2016-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.