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ZOE TAN PEREDA MD
NPI 1942053467
General Practice in Port Charlotte, FL

Active since April 08, 2024PECOS EnrolledAccepts Medicare Assignment
17801 MURDOCK CIR UNIT C, PORT CHARLOTTE, FL 33948(941) 629-3500 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2026, Aug 5, 2025, Apr 8, 2024 (3 updates tracked since 2024).

About Zoe Tan Pereda Md NPPES

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

ZOE TAN PEREDA MD (NPI 1942053467) is an individual general practice provider in Port Charlotte, Florida, licensed in Florida (ACN1737) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cape Coral, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1942053467
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameZOE TAN PEREDACredential: MD
Location Address17801 MURDOCK CIR UNIT CPort Charlotte, FL 33948-4003
Mailing Address12839 Ivory Stone LoopFort Myers, FL 33913-6744 · (239) 202-3941
Phone(941) 629-3500
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 8, 2024
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1942053467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1737
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
17801 MURDOCK CIR UNIT C, Port Charlotte, FL 33948
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Secondary Practice Location 1

Location 1110 NE 2nd Pl Ste 106Cape Coral, FL 33909-2553 · Phone (239) 244-2917

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zoe Tan Pereda 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 ID1557849395
PECOS Enrollment IDI20260202002664
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Zoe Tan Pereda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

David A Butler Do LLC
Same address
Family Medicine
17801 MURDOCK CIR UNIT C
Port Charlotte, FL 33948
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group
NPI 1669759080 (941) 629-3500
American Family Care Group
27 mi
Family Medicine
110 NE 2ND PL STE 106
Cape Coral, FL 33909
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1265170559 (239) 244-2917

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

RONALD CASTOR
Family Medicine
17801 MURDOCK CIR UNIT C
PORT CHARLOTTE, FL 33948
Charlotte County (941) 981-8000
JESSICA MUOH APRN
Nurse Practitioner (Primary Care)
17801 MURDOCK CIR UNIT C
PORT CHARLOTTE, FL 33948
Charlotte County (941) 629-3500
FLORIDA PHYSICIANS PARTNERS GROUP LLC
General Practice
17801 MURDOCK CIR UNIT C
PORT CHARLOTTE, FL 33948
Charlotte County (941) 629-3500
DAVID ALLEN BUTLER D.O.
Family Medicine
17801 MURDOCK CIR UNIT C
PORT CHARLOTTE, FL 33948
Charlotte County (941) 629-3500
DAVID A BUTLER DO LLC
Family Medicine
17801 MURDOCK CIR UNIT C
PORT CHARLOTTE, FL 33948
Charlotte County (941) 629-3500
ANN MARIE PROFETTO APRN
Nurse Practitioner (Primary Care)
17801 MURDOCK CIR UNIT C
PORT CHARLOTTE, FL 33948
Charlotte County (941) 629-3500

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 Zoe Tan Pereda's NPI number?

The NPI number for Zoe Tan Pereda is 1942053467. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Zoe Tan Pereda located?

Zoe Tan Pereda practices at 17801 Murdock Cir Unit C, Port Charlotte, FL 33948. The listed phone number is (941) 629-3500.

What is Zoe Tan Pereda's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Zoe Tan Pereda enrolled in Medicare?

Yes. Zoe Tan Pereda 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.

Which organizations bill Medicare for Zoe Tan Pereda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zoe Tan Pereda reassigns Medicare benefits to 2 organizations: David A Butler Do LLC (Port Charlotte, FL) and American Family Care Group (Cape Coral, FL). Each 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 Zoe Tan Pereda'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 Zoe Tan Pereda was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.