DR. PETER XUEPENG TAN (M.D.) – Internal Medicine Physician, NPI 1144228909

DR. PETER XUEPENG TAN (M.D.) is a healthcare provider. based in Arcadia, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A69134 (CA). The NPI Number for DR. PETER XUEPENG TAN (M.D.) is 1144228909

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER XUEPENG TAN (M.D.)
NPI
1144228909
Phone
(626) 446-8492
Address
117 E LIVE OAK AVE
Enumeration Date
14 July 2005
Last Update Date
22 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6263549113
Graduation Year
1985 (41 years ago)
PAC ID
9739168782
Professional Enrollment ID
I20040714001318
Address ID
CA911074375PA2900XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DR. PETER XUEPENG TAN (M.D.)

  • 117, Live Oak Avenue, Arcadia, Los Angeles County, California, 91006, United States

    SUITE 101

    ARCADIA, CA 910065269

    Phone: (626) 446-8492

    Fax: (626) 445-2082

    Type: Location

  • 624 W Duarte Rd Ste 208

    Arcadia, CA 910077675

    Phone: (626) 446-3608

    Fax: (626) 446-3817

    Type: Location

  • 612 W DUARTE RD STE 205

    ARCADIA, CA 910079229

    Phone: (626) 317-5136

    Fax: (888) 378-7367

    Type: Location

  • 612 W DUARTE RD STE 505

    ARCADIA, CA 910077627

    Phone: (626) 294-9978

    Fax: (626) 294-9526

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $927.

Total Amount is formed as General ($927) + Research ($0) + Ownership ($0) = $927.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($149).

Total Amount

$927

General + Research + Ownership

Payments

42

Total payment records

General Amount

$927

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2004-07-14

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
I20040714001318IInternal MedicineCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes229158$0
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month127110$0
99213Established patient office or other outpatient visit, 20-29 minutes12393$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month6966$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5840$0
View full utilization report →

Insurance plans in this area (ZIP 91006)

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Reviews

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Frequently asked questions

What identifier follows DR. PETER XUEPENG TAN (M.D.) across health systems?
The NPI 1144228909 uniquely identifies DR. PETER XUEPENG TAN (M.D.) in U.S. healthcare data.
Does the public listing show DR. PETER XUEPENG TAN (M.D.) as active?
DR. PETER XUEPENG TAN (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. PETER XUEPENG TAN (M.D.) provide?
DR. PETER XUEPENG TAN (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. PETER XUEPENG TAN (M.D.)?
DR. PETER XUEPENG TAN (M.D.) shows a connection to Arcadia, California in registry-derived data.
Can I export DR. PETER XUEPENG TAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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