MELISSA MATZUMURA KUAN (M.D.) – Rheumatology Physician, NPI 1477818375

MELISSA MATZUMURA KUAN (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in RHEUMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301101017 (MI). The NPI Number for MELISSA MATZUMURA KUAN (M.D.) is 1477818375

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA MATZUMURA KUAN (M.D.)
NPI
1477818375
Phone
(313) 916-2600
Address
2799 W GRAND BLVD
Enumeration Date
7 July 2012
Last Update Date
22 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
8820220544
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20220518001458
Address ID
FL339143861CA2441XBLVD300
Telehealth
Yes

Contacts

Secure Messaging
mmatzumurakuan293932@Direct.leememorial.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

216 RHEUMATOLOGY in MI

Provider Addresses for MELISSA MATZUMURA KUAN (M.D.)

  • 2799 W GRAND BLVD

    DETROIT, MI 482022608

    Phone: (313) 916-2600

    Type: Mailing

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 424-1687

    Fax: (239) 343-4186

    Type: Mailing

  • 2441 SURFSIDE BLVD STE 106

    CAPE CORAL, FL 339143861

    Phone: (239) 424-1687

    Fax: (239) 343-4186

    Type: Location

  • 2441 SURFSIDE BLVD STE 200

    CAPE CORAL, FL 339143861

    Phone: (239) 424-1687

    Fax: (239) 343-4186

    Type: Location

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: 2022-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170829002860IRheumatologyWITBD
I20220518001458IRheumatologyFLTBD

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 minutes454269$0
99204New patient office or other outpatient visit, 45-59 minutes9191$0
99213Established patient office or other outpatient visit, 20-29 minutes2626$0
99215Established patient office or other outpatient visit, 40-54 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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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: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

Can I use this page to confirm MELISSA MATZUMURA KUAN (M.D.)'s NPI?
Yes. MELISSA MATZUMURA KUAN (M.D.) is listed with NPI 1477818375 in the public NPI dataset.
Is MELISSA MATZUMURA KUAN (M.D.) listed as active for patients and plans?
The listing shows MELISSA MATZUMURA KUAN (M.D.) as active in the NPI system.
What is MELISSA MATZUMURA KUAN (M.D.)'s primary classification?
Rheumatology Physician is the headline specialty for MELISSA MATZUMURA KUAN (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for MELISSA MATZUMURA KUAN (M.D.)?
MELISSA MATZUMURA KUAN (M.D.)'s geographic hint is Detroit, Michigan in our summary view.
Is the information about MELISSA MATZUMURA KUAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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