CHARMAINE CAMILLE DELGRA TAN (DO) – Hospitalist Physician, NPI 1235766486

CHARMAINE CAMILLE DELGRA TAN (DO) is a healthcare provider. based in Las vegas, Nevada. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. DO3478 (NV). The NPI Number for CHARMAINE CAMILLE DELGRA TAN (DO) is 1235766486

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CHARMAINE CAMILLE DELGRA TAN (DO)
NPI
1235766486
Phone
(702) 962-9540
Address
3100 N Tenaya Way
Enumeration Date
26 March 2020
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023045900
Graduation Year
2020 (6 years ago)
PAC ID
2668896994
Group Practice PAC ID
1254571896
Professional Enrollment ID
I20230822002720
Address ID
NV891175485LA8689XBLVD416
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

343 HOSPITALIST in NV

Provider Addresses for CHARMAINE CAMILLE DELGRA TAN (DO)

  • 3100 N Tenaya Way

    Graduate Medical Education

    Las Vegas, NV 891280436

    Phone: (702) 962-9540

    Type: Location

  • 2880 N TENAYA WAY

    LAS VEGAS, NV 891280618

    Phone: (702) 962-9540

    Type: Mailing

  • PO BOX 33269

    PHOENIX, AZ 850673269

    Phone: (602) 406-4786

    Fax: (916) 636-4358

    Type: Mailing

  • 3001 SAINT ROSE PKWY

    HENDERSON, NV 890523839

    Phone: (702) 492-8592

    Fax: (702) 492-8045

    Type: Location

  • 2880 N Tenaya Way

    Las Vegas, NV 891280618

    Phone: (702) 962-9540

    Type: Location

  • 8280 W Warm Springs Rd

    Las Vegas, NV 891133612

    Phone: (702) 492-8592

    Fax: (702) 492-8045

    Type: Location

  • 102 E Lake Mead Pkwy

    Henderson, NV 890155575

    Phone: (702) 492-8592

    Fax: (702) 492-8045

    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: 2023-08-22

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
I20230822002720IInternal MedicineNVTBD

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 minutes264125$0
99239Hospital discharge day management, more than 30 minutes8483$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5949$0
View full utilization report →

Insurance plans in this area (ZIP 89128)

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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: 1254571896View full group profile
NameSpecialtyState
Internal MedicineNV
Internal MedicineNV
Infectious DiseaseNY
Family PracticeNY
Internal MedicineNV
Internal MedicineNV
Critical Care (Intensivists), Pulmonary DiseaseAZ
Nurse PractitionerNV
Internal Medicine, HospitalistNV
Hospitalist, Internal MedicineNV

Reviews

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Frequently asked questions

Is CHARMAINE CAMILLE DELGRA TAN (DO) listed with a National Provider Identifier?
Yes — CHARMAINE CAMILLE DELGRA TAN (DO) has NPI 1235766486 on file in the registry.
Is CHARMAINE CAMILLE DELGRA TAN (DO) shown as active in public data?
Registry records indicate CHARMAINE CAMILLE DELGRA TAN (DO) maintains an active NPI.
What area of care is associated with CHARMAINE CAMILLE DELGRA TAN (DO)?
CHARMAINE CAMILLE DELGRA TAN (DO)'s record emphasizes Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is CHARMAINE CAMILLE DELGRA TAN (DO) located near Las Vegas?
CHARMAINE CAMILLE DELGRA TAN (DO) currently maps to Las Vegas, Nevada in this extract.
Does CHARMAINE CAMILLE DELGRA TAN (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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