TAN HO DO
NPI 1114761715
Internal Medicine in Las Vegas, NV

Q: What is Tan Ho's NPI number?

The NPI number for Tan Ho is 1114761715. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Q: What is Tan Ho's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Tan Ho was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 20, 2024PECOS Enrolled

620 SHADOW LN, LAS VEGAS, NV 89106(702) 477-6572 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Tan Ho Do NPPES

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

TAN HO DO (NPI 1114761715) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (SL2161) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114761715

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTAN HOCredential: DO

Location Address620 SHADOW LNLas Vegas, NV 89106-4119

Mailing Address10209 Camborne Ave Unit 104Las Vegas, NV 89144-6880

Phone(702) 477-6572

Sole ProprietorYes

Enumeration DateJune 20, 2024

NPPES CertifiedJune 19, 2024

✔ NPI 1114761715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · SL2161

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

620 SHADOW LN, Las Vegas, NV 89106

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tan Ho Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Other Providers at the Same Location NPPES 20

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

JANN STACEY PICKENS NP

Nurse Practitioner