DR. TINA W KWAN (MD) – Pediatric Cardiology Physician, NPI 1790099810

DR. TINA W KWAN (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 16411 (NV). The NPI Number for DR. TINA W KWAN (MD) is 1790099810

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. TINA W KWAN (MD)
NPI
1790099810
Phone
(702) 732-1290
Address
3131 LA CANADA ST STE 230
Enumeration Date
30 July 2010
Last Update Date
9 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7027321290
Graduation Year
2010 (16 years ago)
PAC ID
7315266053
Group Practice PAC ID
7012804263
Professional Enrollment ID
I20160915002098
Address ID
NV891692551LA3131XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

123 PEDIATRIC MEDICINE in NV

Provider Addresses for DR. TINA W KWAN (MD)

  • 3131 LA CANADA ST STE 230

    LAS VEGAS, NV 891692551

    Phone: (702) 732-1290

    Fax: (702) 732-1385

    Type: Location

  • 3006 S MARYLAND PKWY

    SUITE 690

    LAS VEGAS, NV 891092218

    Phone: (702) 732-1290

    Fax: (702) 260-1926

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2023-12-01 • Largest payer in this snapshot: Abbott Laboratories ($115).

Total Amount

$115

General + Research + Ownership

Payments

1

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$115
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: 2016-09-15

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
I20160915002098IPediatric 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89169)

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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: 7012804263View full group profile
NameSpecialtyState
Pediatric Medicine, Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology), Pediatric MedicineNV
Cardiovascular Disease (Cardiology), Pediatric MedicineNV
Pediatric Medicine, Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology)NV
Pediatric Medicine, Cardiovascular Disease (Cardiology)NV
Pediatric Medicine, Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology)NV
Undefined Physician Type (Specify)NV
Cardiovascular Disease (Cardiology), Pediatric MedicineNV

Reviews

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Frequently asked questions

Is there an official ID for DR. TINA W KWAN (MD) in U.S. healthcare records?
The official identifier for DR. TINA W KWAN (MD) is NPI 1790099810.
Is DR. TINA W KWAN (MD) still an active registrant?
DR. TINA W KWAN (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. TINA W KWAN (MD)'s focus?
For DR. TINA W KWAN (MD), the primary taxonomy reads as Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where in Nevada is DR. TINA W KWAN (MD) registered?
Use Las Vegas, Nevada as the headline location for DR. TINA W KWAN (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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