Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Judy Ann King Tan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427321116

Dr. Judy Ann King Tan, MD is an Internal Medicine in St Louis Park, Minnesota. Qualified in 2007, 19 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

St Louis Park, MN

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 59271 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 59271 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427321116
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 11, 2012
Last updated in NPPESMay 10, 2018

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Louis Park