Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831629443 Individual Practitioner Female Practitioner

Dr. Stephanie Minh-Thu Tan , DO

Pediatrics • Kyle, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Tan, DO is a certified Pediatrics practicing in Kyle, TX. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Tan delivers high-quality medical care to the local community at 22420 IH 35 STE 203.

Dr. Tan is affiliated with Austin Regional Clinic Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

22420 Ih 35 Ste 203

Kyle, TX 786402656

Telephone 5122724636
Fax 5124067327
Associated Practice Facility / Clinic
🏢 Asc - South Austin Llc Facility NPI 1770445074

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kyle, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -2.3 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Kyle, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tan (9 Years) 9 Yrs
Kyle Specialty Average (11.3 Years) 11.3 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
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose
11 11 $72.00 $38.69

Medical Specialties & State Licenses

CMS Verified: 2025-09-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX S6003

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
414932001 (TX)
Medicaid State Provider ID
414932002 (TX)

Hospital & Practice Group Affiliations

Austin Regional Clinic Pa

4100 Everett, Kyle, TX 786406147

Phone: 5122951333

Practice Associates & Co-Workers

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

26 Associated Practitioners
Dr. Angela Gibson , DO

Family Medicine

NPI 1093771859

Doctor of Osteopathic Medicine (D.O.)

NPI 1114933470

Doctor of Osteopathic Medicine (D.O.)

Marjan Linnell

Pediatrics

NPI 1154620623
Dr. Tera Brooks , MD

Family Medicine

NPI 1245504380

Doctor of Medicine (M.D.)

NPI 1275807091

Doctor of Medicine (M.D.)

NPI 1285185843

Doctor of Audiology

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address September 24, 2025

Registered at 6210 E HWY 290 STE 240, AUSTIN, TX 787231144 (Tel: 5123383826)

👤
Provider Name / Credentials Updated September 24, 2025

Recorded as STEPHANIE TAN, DO

📍
Updated Business Mailing Address May 05, 2021

Registered at 6210 E US HWY 290, STE. 240 - CREDENTIALING, AUSTIN, TX 787231144 (Tel: 5123383826)

📍
Updated Business Mailing Address August 06, 2020

Registered at 6210 E US HWY 290, STE. 420 - CREDENTIALING, AUSTIN, TX 787231098 (Tel: 5123383826)

📍
Updated Practice Location May 28, 2020

Registered at 22420 IH 35 STE 203, KYLE, TX 786402656 (Tel: 5122724636)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2020

Pediatrics (License #S6003 in TX)

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 4440 W. 95TH STREET, OAK LAWN, IL 60453 (Tel: (708) 684-5341)

📍
Updated Business Mailing Address June 15, 2017

Registered at 4440 W 95TH ST, OAK LAWN, IL 604532600 (Tel: 7086845341)

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as THU NGUYEN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Student in an Organized Health Care Education/Training Program (License #125070866 in IL)

🟢
Initial NPI Registration & Enumeration June 15, 2017

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: 1831629443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: September 24, 2025
Sole Proprietor: No

Mailing Address

6210 E Hwy 290 Ste 240

Austin, TX 787231144

Phone: 5123383826

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.