DR. ANNIE LAN ANH NGUYENTAT (DPM) – Podiatrist, NPI 1134486160

DR. ANNIE LAN ANH NGUYENTAT (DPM) is a healthcare provider. based in Mountain view, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. E5124 (CA). The NPI Number for DR. ANNIE LAN ANH NGUYENTAT (DPM) is 1134486160

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNIE LAN ANH NGUYENTAT (DPM)
NPI
1134486160
Phone
Not provided
Address
2350 W EL CAMINO REAL
Enumeration Date
16 April 2012
Last Update Date
13 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167821217
Graduation Year
2011 (15 years ago)
PAC ID
2163648379
Group Practice PAC ID
5193790046
Professional Enrollment ID
I20140724001192
Address ID
CA956612930RO151XXAVEX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

Provider Addresses for DR. ANNIE LAN ANH NGUYENTAT (DPM)

  • 2350 W EL CAMINO REAL

    2ND FLOOR

    MOUNTAIN VIEW, CA 940406201

    Phone:

    Type: Mailing

  • 701 E EL CAMINO REAL

    MOUNTAIN VIEW, CA 940402833

    Phone: (650) 934-7090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $310.

Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.

Last reported payment date: 2024-08-03 • Largest payer in this snapshot: Bone Support Inc. ($146).

Total Amount

$310

General + Research + Ownership

Payments

5

Total payment records

General Amount

$310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140724001192IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes18798$0
99204New patient office or other outpatient visit, 45-59 minutes106106$0
99214Established patient office or other outpatient visit, 30-39 minutes7867$0
73630X-ray of foot, minimum of 3 views7349$0
99215Established patient office or other outpatient visit, 40-54 minutes6556$0
View full utilization report →

Insurance plans in this area (ZIP 94040)

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Provider's Procedures

DR. ANNIE LAN ANH NGUYENTAT (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCA20610Aspiration and/or injection of large joint or joint capsule3227
PODIATRYCA73630X-ray of foot, minimum of 3 views181145

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193790046View full group profile
NameSpecialtyState
Orthopedic SurgeryCA
-CA
-CA
Orthopedic Surgery, Sports MedicineCA
Physician AssistantCA

Reviews

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Frequently asked questions

How do I look up DR. ANNIE LAN ANH NGUYENTAT (DPM) by NPI?
Use NPI 1134486160 when you need to reference DR. ANNIE LAN ANH NGUYENTAT (DPM) in forms, claims, or directories.
Does this profile mean DR. ANNIE LAN ANH NGUYENTAT (DPM) is currently active?
Yes — DR. ANNIE LAN ANH NGUYENTAT (DPM) appears active in the national provider directory.
What field does DR. ANNIE LAN ANH NGUYENTAT (DPM) work in?
You can think of DR. ANNIE LAN ANH NGUYENTAT (DPM) as practicing within Podiatrist. Clinical services aligned with this taxonomy classification.
Where is DR. ANNIE LAN ANH NGUYENTAT (DPM)'s primary listing?
We display Mountain View, California because that is what the record indicates for DR. ANNIE LAN ANH NGUYENTAT (DPM).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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