MAUREEN TAN PEDRES (M.D.) – Internal Medicine Physician, NPI 1003015736

MAUREEN TAN PEDRES (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301090617 (MI). The NPI Number for MAUREEN TAN PEDRES (M.D.) is 1003015736

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MAUREEN TAN PEDRES (M.D.)
NPI
1003015736
Phone
(616) 391-3139
Address
100 MICHIGAN ST NE
Enumeration Date
12 July 2007
Last Update Date
6 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2004 (22 years ago)
PAC ID
9133244734
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20100920001027
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
mtanpedres9937@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for MAUREEN TAN PEDRES (M.D.)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    SUITE A721

    GRAND RAPIDS, MI 495032560

    Phone: (616) 391-3139

    Fax: (616) 391-3044

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-09-20

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
I20100920001027IInternal MedicineMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9740$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7329$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3434$0
99239Hospital discharge day management, more than 30 minutes3232$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do payers reference MAUREEN TAN PEDRES (M.D.)?
For MAUREEN TAN PEDRES (M.D.), use NPI 1003015736 as the unique 10-digit identifier.
Is there an active status for MAUREEN TAN PEDRES (M.D.)?
For scheduling context, MAUREEN TAN PEDRES (M.D.) is shown as active in the registry.
What kind of doctor is MAUREEN TAN PEDRES (M.D.)?
MAUREEN TAN PEDRES (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is MAUREEN TAN PEDRES (M.D.) registered?
Use Grand Rapids, Michigan as the headline location for MAUREEN TAN PEDRES (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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