DR. TEIMOJIN NICHOLAS TAN (DO) – Emergency Medicine Physician, NPI 1952892382
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,157 EMERGENCY MEDICINE in MI
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Provider Addresses for DR. TEIMOJIN NICHOLAS TAN (DO)
6, Woodside Park Boulevard, Pleasant Ridge, Oakland County, Michigan, 48069, United States
PLEASANT RIDGE, MI 480691041
Phone: (517) 395-6322
Type: Mailing
Dequindre Road, Sterling Heights, Macomb County, Michigan, 48092, United States
STERLING HEIGHTS, MI 483141002
Phone: (517) 395-6322
Type: Location
447 N MAIN ST
PITTSFIELD, ME 049673707
Phone: (514) 465-8977
Type: Mailing
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: 2023-06-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230627002791 | I | Emergency Medicine | ME | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 72 | 66 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 37 | 37 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 17 | 16 | $0 |
Insurance plans in this area (ZIP 48069)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ME | |
| Emergency Medicine | IL | |
| General Surgery | ME | |
| Emergency Medicine | SC | |
| Emergency Medicine | WV | |
| - | NJ | |
| Emergency Medicine | MA | |
| Emergency Medicine | RI | |
| Emergency Medicine | NJ | |
| Emergency Medicine | WI |
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