Kwei Ham Daniel Tan, DO PLLC
NPI 1558194035 · Family Medicine Physician · Groton, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kwei Ham Daniel Tan, DO PLLC is a Family Medicine Physician organization in Groton, NY (NPI 1558194035).
Provider details
- NPI number
- 1558194035
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Winda Dickey, Billing Manager(772) 777-0333
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 134 Homer AveCortland, NY 13045-1206Phone: (607) 756-3900Fax: (607) 756-3911
Registry dates
- Enumerated
- 2024-08-21
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Frequently asked questions
- What is Kwei Ham Daniel Tan, DO PLLC's NPI number?
- Kwei Ham Daniel Tan, DO PLLC's National Provider Identifier (NPI) is 1558194035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kwei Ham Daniel Tan, DO PLLC?
- Kwei Ham Daniel Tan, DO PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kwei Ham Daniel Tan, DO PLLC located?
- Kwei Ham Daniel Tan, DO PLLC's practice location on file with NPPES is 120 Sykes St, Groton, NY 13073-1231.
- What is Kwei Ham Daniel Tan, DO PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kwei Ham Daniel Tan, DO PLLC is (607) 591-5349.
- Does Kwei Ham Daniel Tan, DO PLLC accept Medicare?
- Kwei Ham Daniel Tan, DO PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kwei Ham Daniel Tan, DO PLLC?
- The authorized official listed on Kwei Ham Daniel Tan, DO PLLC's NPPES record is Winda Dickey, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kwei Ham Daniel Tan, DO PLLC's NPI active?
- Yes — Kwei Ham Daniel Tan, DO PLLC's NPI (1558194035) is active in the NPPES registry as of the last update on 2024-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.