MAYBEL MIN TAN M.D
NPI 1053657684
Internal Medicine - Nephrology in Montebello, CA

Q: What is Maybel Tan's NPI number?

The NPI number for Maybel Tan is 1053657684. It was assigned to this individual provider in the NPPES registry on December 31, 2012.

Q: What is Maybel Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Maybel Tan was last updated on August 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 31, 2012PECOS EnrolledAccepts Medicare Assignment

90.15/100

CMS Quality Rating

3114 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 726-3868 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2019, Mar 17, 2018, Jan 16, 2018 (3 updates tracked since 2018).

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About Maybel Min Tan M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYBEL MIN TAN M.D (NPI 1053657684) is an individual nephrology provider in Montebello, California, licensed in California (A126350) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Culver City, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053657684

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameMAYBEL MIN TANCredential: M.D

Location Address3114 W BEVERLY BLVDMontebello, CA 90640-2217

Mailing Address2149 E Warner Rd, Ste 102Tempe, AZ 85284-3495 · (480) 393-0309 · Fax (480) 610-6189

Phone(323) 726-3868

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateDecember 31, 2012

Last NPPES UpdateAugust 22, 20193 updates tracked since enumeration

✔ NPI 1053657684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · A126350

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3114 W BEVERLY BLVD, Montebello, CA 90640

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Secondary Practice Location 1

Location 19808 Venice Blvd PhCulver City, CA 90232-2732 · Phone (310) 733-4171 · Fax (310) 559-0996

Other Identifiers 1

Medicaid1053657684CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maybel Min Tan M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072827062

PECOS Enrollment IDI20150804006089

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

784 services255 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

275 services127 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

198 services186 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

105 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

90 services37 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

74 services19 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

56 services43 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

54 services32 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

43 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

42 services30 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.99

Promoting Interoperability

100

Improvement Activities

Cost

54.85

Reported Quality Measures

Advance Care Plan

20%915 patients1/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

66%257 patients4/55-star benchmark: 87%

Colorectal Cancer Screening

7%273 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

65%275 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

0%173 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

65%173 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

61%1,909 patients2/55-star benchmark: 100%

e-Prescribing

66%361 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%285 patients1/55-star benchmark: 100%

HIV Screening

34%197 patients3/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

45%447 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%341 patients3/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

83%254 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

77%205 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 293 patients

Patients totalRate: 0% · 293 patients

0%293 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRADIP C.P. CHOWDHURY M.D.

Internal Medicine (Nephrology)