QIUXUE TRACEY TAN MD
NPI 1801388426
Internal Medicine in Santa Monica, CA

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
2336 SANTA MONICA BLVD STE 301, SANTA MONICA, CA 90404(310) 998-9118 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Qiuxue Tracey Tan Md NPPES

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

QIUXUE TRACEY TAN MD (NPI 1801388426) is an individual internal medicine provider in Santa Monica, California, licensed in California (A174546) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Naples, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801388426
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameQIUXUE TRACEY TANCredential: MD
Location Address2336 SANTA MONICA BLVD STE 301Santa Monica, CA 90404-2067
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8771
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 30, 2018
Last NPPES UpdateOctober 14, 2021
NPPES CertifiedOctober 14, 2021
NPI 1801388426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · A174546 Licensed in FL · 26642
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.

2336 SANTA MONICA BLVD STE 301, Santa Monica, CA 90404

Secondary Practice Location 1

Location 1851 5th Ave N Ste 306Naples, FL 34102-5582 · Phone (239) 624-0030

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

Qiuxue Tracey Tan Md 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 ID1254683964
PECOS Enrollment IDI20210914000513
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

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.

Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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.

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Hematology & Oncology)
2336 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404
Nurse Practitioner
2336 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404
Internal Medicine
2336 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404
Hospitalist
2336 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404
Internal Medicine
2336 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404
Family Medicine
2336 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404
Internal Medicine
2336 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404
Family Medicine
2336 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404

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 Qiuxue Tan's NPI number?

The NPI number for Qiuxue Tan is 1801388426. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Qiuxue Tan located?

Qiuxue Tan practices at 2336 Santa Monica Blvd Ste 301, Santa Monica, CA 90404. The listed phone number is (310) 998-9118.

What is Qiuxue Tan's specialty?

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

Is Qiuxue Tan enrolled in Medicare?

Yes. Qiuxue Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Qiuxue Tan was last updated on October 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.