ZINNIA TAN SAN JUAN (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1669683926
Endocrinology, Diabetes & Metabolism Physician
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Profile Insights
NPPES metrics only — not quality of care.
47 ENDOCRINOLOGY in UT
Provider Addresses for ZINNIA TAN SAN JUAN (M.D.)
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
181 E MEDICAL TOWER DR
MURRAY, UT 84107
Phone: (801) 314-4500
Fax: (801) 314-2909
Type: Location
2601 CHERRY AVE STE 315
BREMERTON, WA 983104201
Phone: (360) 405-7900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $245.
Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Lilly USA, LLC ($44).
Total Amount
$245
General + Research + Ownership
Payments
12
Total payment records
General Amount
$245
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $44 |
| SANOFI-AVENTIS U.S. LLC | $34 |
| Tandem Diabetes Care, Inc. | $33 |
| Insulet Corporation | $32 |
| Dexcom, Inc. | $27 |
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: 2018-07-27
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 |
|---|---|---|---|---|
| I20180727001970 | I | Endocrinology | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 516 | 329 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 202 | 94 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 125 | 100 | $0 |
| 83036 | Hemoglobin a1c level | 116 | 84 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 69 | 69 | $0 |
Insurance plans in this area (ZIP 84127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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