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Active NPI 1801836580 Individual Practitioner Male Practitioner

Dr. Andrew W. Tan , MD

Surgery • Wailuku, HI

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Tan, MD is a registered Surgery practitioner in Wailuku, HI. With approximately 27 years of clinical practice since graduating from Albany Medical College Of Union University in 1999, Dr. Tan provides healthcare services at the registered practice location at 80 MAHALANI ST.

Dr. Tan is affiliated with Hawaii Permanente Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include adm sarscov2 100mcg/0.5ml1st, adm sarscov2 100mcg/0.5ml2nd. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

80 Mahalani St

Wailuku, HI 967932531

Telephone 8082436000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wailuku, HI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs -0.7 yrs vs City Avg
City Avg: 27.7 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Wailuku, HI (157 Statewide)

Telehealth Adoption Rate
27.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tan (27 Years) 27 Yrs
Wailuku Specialty Average (27.7 Years) 27.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
0011A Adm sarscov2 100mcg/0.5ml1st
876 876 $30.91 $30.91
0012A Adm sarscov2 100mcg/0.5ml2nd
420 419 $43.68 $43.68

Medical Specialties & State Licenses

CMS Verified: 2021-05-18
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License HI MD-13193

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License HI MD13193

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (HI)

Hospital & Practice Group Affiliations

Hawaii Permanente Medical Group Inc

80 Mahalani St, Wailuku, HI 967932531

Phone: 8082436000

Hawaii Permanente Medical Group Inc

3288 Moanalua Rd, Honolulu, HI 968191469

Phone: 8084320000

Hawaii Permanente Medical Group Inc

221 Mahalani St, Wailuku, HI 967932526

Phone: 8082449056

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Barbara Bezdicek , MD

Obstetrics & Gynecology

NPI 1003951906

Doctor of Medicine (M.D.)

Kimberlee Miyamoto , LCSW

Social Worker - Clinical

NPI 1003998006

Licensed Clinical Social Worker

Dr. James Ferrier , MD

Orthopaedic Surgery

NPI 1023118858

Doctor of Medicine (M.D.)

NPI 1023296688

Master of Social Work

Summer Solt , LCSW

Social Worker - Clinical

NPI 1023459161

Licensed Clinical Social Worker

Cassandra Bick Johnson

Dietitian, Registered

NPI 1033516687

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 18, 2021

Registered at 80 MAHALANI ST, WAILUKU, HI 967932531 (Tel: 8082436000)

📍
Updated Business Mailing Address May 18, 2021

Registered at 80 MAHALANI ST, WAILUKU, HI 967932531 (Tel: 8082436000)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 677 ALA MOANA BLVD, SUITE 1025, HONOLULU, HI 968135419 (Tel: 8085355975)

📍
Updated Business Mailing Address July 08, 2007

Registered at 677 ALA MOANA BLVD, SUITE 1025, HONOLULU, HI 968135419 (Tel: 8085355975)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREW TAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MD13193 in HI)

🟢
Initial NPI Registration & Enumeration June 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801836580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: May 18, 2021
Sole Proprietor: No

Mailing Address

80 Mahalani St

Wailuku, HI 967932531

Phone: 8082436000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.