Individual provider Active NPI

Eddie Tang, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1093729691
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G75213 Issued in CA
Practice address
1 Shrader St
Suite 600
San Francisco, CA 94117-1016
Phone
(415) 387-9992
Fax
(415) 387-9996
NPI assigned
Jul 28, 2006
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G75213 CA Primary

Addresses

Primary practice location

1 Shrader St
Suite 600
San Francisco, CA 94117-1016

Mailing address

2250 Hayes St
Ste 204
San Francisco, CA 94117-1078
Phone (415) 387-9992

Other practice location 1

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-1300

Other identifiers 2

IdentifierTypeStateIssuer
G752130MedicaidCA
G752130OtherCABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN, AR, MO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080725000432 CA Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3870562267 Reassigns benefits to 4 organizations
I20170627001413 MN Practitioner - Thoracic Surgery 3870562267 Reassigns benefits to 1 organization
I20190805001768 AR Practitioner - Thoracic Surgery 3870562267 Reassigns benefits to 3 organizations
I20220826001196 MO Practitioner - Thoracic Surgery 3870562267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, shared by 18 NPIs, 330 clinicians

Practice addresses (Care Compare)

100 Mercy Way
310 Mercy Clinic Joplin Cardiac Thoraci
Joplin, MO 64804-4524
Phone (417) 556-8600

1430 Esplanade
Suite 6
Chico, CA 95926-3366
Phone (530) 332-4600

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

2250 Hayes St
Suite 204
San Francisco, CA 94117-1078
Phone (415) 387-9992

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75213CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. Current Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Group Health, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Group Health, Inc. CurrentSince Aug 1, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Mar 6, 2025 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Aug 1, 2022 Accepting new patients
Enloe Medical Center CurrentSince Aug 28, 2025 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Aug 20, 2024 Accepting new patients
County of Santa Clara CurrentSince Mar 6, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Feb 1, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 5, 2022 Accepting new patients
Enloe Medical Center CurrentSince Aug 24, 2019 Accepting new patients
Enloe Medical Center Current Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Jul 1, 2019 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Jul 1, 2019 Accepting new patients
Enloe Medical Center CurrentSince Aug 24, 2019 Accepting new patients
Lake Regional Medical Management, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 5, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Feb 1, 2022 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Aug 20, 2024 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188

628 Hospital Dr
#E1
Mountain Home, AR 72653
Phone (870) 425-3291

2708 S Rife Medical Ln
Ste 210
Rogers, AR 72758
Phone (479) 338-3888

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1430 The Esplanade
Ste 6
Chico, CA 95926
Phone (530) 332-4400

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 310
Joplin, MO 64804

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: etang126045@santaclaravalley.direct-ci.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: etang16261@enloedirect.org
  • Direct secure messaging: eddietang@hrmg.allscriptsdirect.net
  • Direct secure messaging: etang1223492@directc.mercy.net
  • Direct secure messaging: etang433931@direct-ucsfmedicalcenter.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1093729691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "address_2": "STE 204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171078",
            "telephone_number": "415-387-9992",
            "fax_number": "415-387-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST",
            "address_2": "SUITE 600",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171016",
            "telephone_number": "415-387-9992",
            "fax_number": "415-387-9996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "EDDIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G75213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G752130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "G752130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.