JARVIS TZENG DO P A
NPI 1104104488
Internal Medicine in Phoenix, AZ
About Jarvis Tzeng Do P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARVIS TZENG DO P A (NPI 1104104488) is a healthcare organization registered as an internal medicine in Phoenix, Arizona and active in the NPI registry since August 2011. The organization lists Jarvis Arthur Tzeng, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jarvis Tzeng Do P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Jarvis Tzeng Do P A, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 22Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jarvis Tzeng Do P A's NPI number?
The NPI number for Jarvis Tzeng Do P A is 1104104488. It was assigned to this organization in the NPPES registry on August 3, 2011.
Where is Jarvis Tzeng Do P A located?
Jarvis Tzeng Do P A is located at 108 10 N Tatum Blvd 102-132, Phoenix, AZ 85028. The listed phone number is (480) 389-6863.
What is Jarvis Tzeng Do P A's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jarvis Tzeng Do P A enrolled in Medicare?
Yes. Jarvis Tzeng Do P A is registered in the Medicare PECOS enrollment system.
When is Jarvis Tzeng Do P A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jarvis Tzeng Do P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 3 Medicare specialties reassign their Medicare billing to Jarvis Tzeng Do P A. A 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 the clinician's services. The largest specialties are Nurse Practitioner (17), General Surgery (4) and Internal Medicine (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jarvis Tzeng Do P A was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# Jarvis Tzeng Do P A · NPI 1104104488
Internal Medicine organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since August 3, 2011.
## Identity
- **NPI:** 1104104488 (Entity type: Organization)
- **Enumerated:** August 3, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jarvis Tzeng, PRESIDENT
## Practice location
- **Address:** 108 10 N TATUM BLVD 102-132, Phoenix, AZ 85028
- **Phone:** (480) 389-6863 · **Fax:** (888) 819-9648
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 22 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), General Surgery (4), Internal Medicine (1); 7 practice within 10 miles; [full list](https://npiprofile.com/npi/1104104488/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104104488) · Data from the CMS NPPES public registry.