MIRIAM R CHAN MD
NPI 1033351440
Anesthesiology - Pediatric Anesthesiology in Tampa, FL
About Miriam R Chan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRIAM R CHAN MD (NPI 1033351440) is an individual pediatric anesthesiology provider in Tampa, Florida, licensed in Florida (ME115766) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Petersburg.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miriam R Chan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Miriam Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 1,887 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33619 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33619
TAMPA, FL 33619
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Miriam Chan's NPI number?
The NPI number for Miriam Chan is 1033351440. It was assigned to this individual provider in the NPPES registry on March 31, 2009.
Where is Miriam Chan located?
Miriam Chan practices at 10080 Balaye Run Dr, Tampa, FL 33619. The listed phone number is (813) 490-6100.
What is Miriam Chan's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.
Is Miriam Chan enrolled in Medicare?
Yes. Miriam Chan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Miriam Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Chan reassigns Medicare benefits to Anesthesia Dynamics LLC (Bradenton, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Miriam Chan was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Miriam R Chan, MD · NPI 1033351440
Pediatric Anesthesiology physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since March 31, 2009.
## Identity
- **NPI:** 1033351440 (Entity type: Individual)
- **Enumerated:** March 31, 2009
- **Primary specialty:** Anesthesiology - Pediatric Anesthesiology · taxonomy 207LP3000X
- **State license:** ME115766 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 10080 BALAYE RUN DR, Tampa, FL 33619-7902
- **Phone:** (813) 490-6100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Medicaid 010603200 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1033351440) · Data from the CMS NPPES public registry.