Benjamin Tan, DO
NPI 1619471216 · Family Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Tan, DO is a Family Medicine Physician provider in Jacksonville, FL (NPI 1619471216).
Provider details
- NPI number
- 1619471216
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- UO5958 (FL)
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
8 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
- 2018-03-20
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Frequently asked questions
- What is Benjamin Tan's NPI number?
- Benjamin Tan's National Provider Identifier (NPI) is 1619471216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Tan's specialty?
- Benjamin Tan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Tan located?
- Benjamin Tan's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224.
- What is Benjamin Tan's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Tan is (904) 953-2000.
- Does Benjamin Tan accept Medicare?
- Benjamin Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Tan's NPI active?
- Yes — Benjamin Tan's NPI (1619471216) is active in the NPPES registry as of the last update on 2020-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.