NPIMap

Individual provider Active NPI

Aaron Tzupeng Fang, M.D.

  • Hospitalist Physician
  • Renton, WA
National Provider Identifier
1003130030
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD60383479 Issued in WA
Practice address
400 S 43Rd St
Renton, WA 98055-5714
Phone
(425) 228-3440
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60383479 WA
Hospitalist Physician 208M00000X MD60383479 WA Primary

Addresses

Primary practice location

400 S 43Rd St
Renton, WA 98055-5714

Mailing address

PO Box 34876
Seattle, WA 98124-1876
Phone (425) 656-5412

Other identifiers 1

IdentifierTypeStateIssuer
2020314MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000983 WA Practitioner - Internal MedicinePractitioner - Hospitalist 6305082405 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
Wa Pacs 2 PCGroup PAC ID 6901156538, 26 clinicians
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

1141 Beach Dr E
Port Orchard, WA 98366-4937
Phone (360) 895-4700

16850 SE 272ND St
Covington, WA 98042-4931

400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 228-3450

Hospital & facility affiliations

  • Valley Medical Center Hospital, Renton, WA, CCN 500088
  • Benson Heights Rehabilitation Center Nursing home, Kent, WA, CCN 505519
  • Transitional Care Of Seattle Nursing home, Seattle, WA, CCN 505534
  • Washington Veteran Home-Retsil Nursing home, PT Orchard, WA, CCN 505517
  • Mirabella Nursing home, Seattle, WA, CCN 505520
  • Judson Park Health Center Nursing home, Des Moines, WA, CCN 505455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Pac Services PC Hospitalist CurrentSince May 9, 2024 Accepting new patients
CS Pacs 3 Northwest, LLC Hospitalist CurrentSince Sep 28, 2024 Accepting new patients
Valley Medical Group-Renton Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Wa Pacs 2 PC Hospitalist CurrentSince May 9, 2024 Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Avalon Care Center-Kent LLC Past Accepting new patients
State of Washington, Washington Veterans Homes Past Accepting new patients
Transitional Care SNF Operations, LLC Past Accepting new patients

Locations

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

1141 Beach Dr E
Port Orchard, WA 98366
Phone (360) 736-4553

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

3600 Lind Ave SW
Ste 100
Renton, WA 98057

4011 Talbot Rd S
Ste 500
Renton, WA 98055
Phone (425) 251-5110

4011 Talbot Rd S
Ste 460
Renton, WA 98055
Phone (425) 251-5110

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

Interoperability endpoints

  • Direct secure messaging: afang45501@direct.valleymed.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
State of Washington, Washington Veterans HomesPort Orchard, WA, CCN 505517 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 7, 2024
May 7, 2024
Mirabella SeattleSeattle, WA, CCN 505520 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2025
Nov 1, 2025
Transitional Care Center of SeattleSeattle, WA, CCN 505534 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 31, 2023
Aug 31, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1003130030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34876",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241876",
            "telephone_number": "425-656-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555714",
            "telephone_number": "425-228-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "AARON",
        "middle_name": "TZUPENG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60383479",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60383479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020314",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.