DR. GINIE CHAN (MD) – Internal Medicine Physician, NPI 1861448961
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. GINIE CHAN (MD)
10150 HIGHLAND MANOR DR STE 240
TAMPA, FL 336109750
Phone: (813) 259-1013
Fax: (813) 254-0396
Type: Location
19204 E PENNSYLVANIA AVE
DUNNELLON, FL 344326168
Phone: (352) 732-6599
Type: Mailing
4055 VALLEY VIEW LN STE 700
DALLAS, TX 752445045
Phone:
Type: Mailing
Main Street North, Stillwater, Washington County, Minnesota, 55082, United States
STILLWATER, MN 550826788
Phone: (651) 342-1039
Fax: (651) 342-1428
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: 2012-05-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051103001122 | I | Internal Medicine | FL | TBD |
| I20120507000246 | I | Internal Medicine | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33610)
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