NPIMap

Individual provider Active NPI

Tom CHI an Fang, M.D.

  • Gastroenterology Physician
  • Reno, NV
National Provider Identifier
1053584631
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
57392 Issued in MN
Practice address
10619 Professional Cir
Reno, NV 89521-5831
Phone
(775) 852-4848
Fax
(775) 850-5763
NPI assigned
Apr 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 15844 NV
Gastroenterology Physician 207RG0100X 57392 MN Primary

Addresses

Primary practice location

10619 Professional Cir
Reno, NV 89521-5831

Mailing address

10619 Professional Cir
Reno, NV 89521-5831
Phone (775) 852-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20151006001189 NV Practitioner - Gastroenterology 9739302480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Consultants LTDGroup PAC ID 0941107478, 39 clinicians

Practice addresses (Care Compare)

10619 Professional Cir
Reno, NV 89521-5831
Phone (775) 329-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy327
Upper gastrointestinal (GI) endoscopy for acid reflux595

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Community Care Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Gastroenterology Consultants, LTD CurrentSince Oct 1, 2015 Accepting new patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC Gastroenterology Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

880 Ryland St
Reno, NV 89502
Phone (775) 329-4600

Interoperability endpoints

  • Direct secure messaging: tfang@directaddress.net

Organizations & group practices 9

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

Hospital & facility affiliations 12

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": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1053584631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10619 PROFESSIONAL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215831",
            "telephone_number": "775-852-4848",
            "fax_number": "775-850-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10619 PROFESSIONAL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215831",
            "telephone_number": "775-852-4848",
            "fax_number": "775-850-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "TOM",
        "middle_name": "CHI AN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "15844",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "57392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.