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Active NPI 1699882084 Individual Practitioner Male Practitioner

Dr. Ernesto Tan , MD

Urology • Lockport, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ernesto Tan, MD is a certified Urology practicing in Lockport, IL. With approximately 54 years of clinical experience since completing medical education in 1972, Dr. Tan delivers high-quality medical care to the local community at 300 READ ST STE A.

Dr. Tan maintains professional affiliations with Graham Hospital Association, Prime Healthcare Illinois Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, diagnostic exam of bladder and urethra using an endoscope, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Read St Ste A

Lockport, IL 604413265

Telephone 8157411020
Fax 8157411064
Associated Practice Facility / Clinic
🏢 Emily M. Mckenna, Llc Facility NPI 1205585221

Medicare Profile & Education

Medical School

Other

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Lockport, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
54 Yrs Matches City Avg
City Avg: 54.0 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Lockport, IL (663 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tan (54 Years) 54 Yrs
Lockport Specialty Average (54.0 Years) 54.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes
33 21 $86.00 $51.25
52000 Diagnostic exam of bladder and urethra using an endoscope
15 14 $221.09 $77.23

Medical Specialties & State Licenses

CMS Verified: 2023-08-30
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036049705

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Medicare Ptan
IL3265
Commercial Insurance / Payer ID Group Npi
1467471540
Commercial Insurance / Payer ID Rr Ptam
DF2482

Hospital & Practice Group Affiliations

Prime Healthcare Illinois Medical Group Llc

100 Provena Way, Bourbonnais, IL 609144797

Phone: 8159378780

Graham Hospital Association

180 S Main St, Canton, IL 615202608

Phone: 3096470201

Prime Healthcare Illinois Medical Group Llc

500 W Court St, Kankakee, IL 609013661

Phone: 8159372400

Practice Associates & Co-Workers

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

2 Associated Practitioners
Kristen Dickinson

Social Worker

NPI 1871273912
Nina Trlak

Counselor - Professional

NPI 1992411086

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2023

Urology (License #036049705 in IL)

NPI Profile Active November 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2014

Registered at 300 READ ST STE A, LOCKPORT, IL 604413265 (Tel: 8157411020)

📍
Updated Business Mailing Address November 24, 2014

Registered at 10400 SOUTHWEST HWY LOWR LEVEL, CHICAGO RIDGE, IL 604152394 (Tel: 7085908770)

👤
Provider Name / Credentials Updated November 24, 2014

Recorded as ERNESTO TAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2014

Urology (License #208800000X in IL)

🟢
Initial NPI Registration & Enumeration August 23, 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: 1699882084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: August 30, 2023
Sole Proprietor: No

Mailing Address

10400 Southwest Hwy Lowr Level

Chicago Ridge, IL 604152394

Phone: 7085908770

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.