Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jose Mariano Tiu Tan II, MD-MBA

Individual provider Cardiovascular Disease Physician · NPI 1265849541

Dr. Jose Mariano Tiu Tan II, MD-MBA is a Cardiovascular Disease (Cardiology) in Grand Rapids, Michigan. Qualified in 2012, 14 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

2900 Bradford St NE
Grand Rapids, MI 49525-6427
Phone: (616) 885-5000
Fax: (616) 885-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 4301112762 (MI)

Record details

NPI number1265849541
Entity typeIndividual (Type 1)
GenderMale
Credentials MD-MBA
Sole proprietorNo
NPI enumeratedJuly 17, 2014
Last updated in NPPESJuly 21, 2022
Certification dateMarch 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations23 on file with Medicare

Other providers in Grand Rapids