Individual provider Active NPI

Tony Dang, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1083795199
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5120 Issued in TX
Practice address
1139 W Braker LN Ste 103
Austin, TX 78758-4113
Phone
(512) 832-1300
Fax
(512) 215-9848
NPI assigned
Oct 17, 2006
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5120 TX Primary

Addresses

Primary practice location

1139 W Braker LN Ste 103
Austin, TX 78758-4113

Mailing address

1139 W Braker LN Ste 103
Austin, TX 78758-4113
Phone (512) 832-1300

Other identifiers 3

IdentifierTypeStateIssuer
286890301MedicaidTX
190778402OtherMEDICAID (TPI) PERFORMING - INDIVIDUAL
286890302OtherTXTHSTEP TPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000326 TX Practitioner - Family Practice 9133226459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

Practice addresses (Care Compare)

1139 W Braker LN
Suite 103
Austin, TX 78758-4113
Phone (512) 832-1300

1485 FM 1960 Bypass Rd E
Suite 100
Humble, TX 77338-3965
Phone (810) 270-8055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5120TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central River Healthcare Group, PLLC Family Medicine CurrentSince Jan 25, 2010 Accepting new patients
Sciometrix Inc CurrentSince Jun 25, 2024 Accepting new patients
Tony Dang MD PA Family Medicine CurrentSince Sep 16, 2011 Accepting new patients
Tony Dang M.D., P.a. Current Accepting new patients
Running Wild Sea, LLC Past Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

1139 W Braker Ln
Ste 103
Austin, TX 78758
Phone (512) 832-1300

8557 Research Blvd
Ste 128
Austin, TX 78758
Phone (512) 836-7399

1485 FM 1960 Bypass Rd E
Ste 100
Humble, TX 77338
Phone (281) 964-2100

Organizations & group practices 5

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 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1083795199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 W BRAKER LN STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584113",
            "telephone_number": "512-832-1300",
            "fax_number": "512-215-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 W BRAKER LN STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584113",
            "telephone_number": "512-832-1300",
            "fax_number": "512-215-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286890301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID (TPI) PERFORMING - INDIVIDUAL",
            "identifier": "190778402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THSTEP TPI",
            "identifier": "286890302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.