The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Virginia

4 active clinicians are listed under Specialist with a practice address in Springfield, VA (798 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-03

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES VA 20-0576591

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location February 03, 2024

Registered at 6120 BRANDON AVE STE 104, SPRINGFIELD, VA 221502504 (Tel: 7039139447)

📍

Updated Business Mailing Address February 03, 2024

Registered at 6120 BRANDON AVE STE 104, SPRINGFIELD, VA 221502504 (Tel: 7039134774)

✅

NPI Profile Active June 23, 2015

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) June 23, 2015

Registered at 6691E BACKLICK RD, SPRINGFIELD, VA 221502702 (Tel: 7039139447)

📍

Business Mailing Address (Initial Record) June 23, 2015

Registered at 6691E BACKLICK RD, SPRINGFIELD, VA 221502702 (Tel: 7039139447)

👤

Provider Name / Credentials (Initial Record) June 23, 2015

Recorded as SOKUNTHY TAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2015

Specialist (license number reported to NPPES: VA 20-0576591)

🟢

Initial NPI Registration & Enumeration October 16, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154656668

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 16, 2009

Last Update: February 03, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6120 Brandon Ave Ste 104

Springfield, VA 221502504

Phone: 7039134774

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.