Individual provider Active NPI

Timothy T Tang, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1093805046
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J5204 Issued in TX
Practice address
17531 FM 529 Rd #100
Houston, TX 77095
Phone
(281) 858-4888
Fax
(281) 858-4846
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J5204 TX Primary

Addresses

Primary practice location

17531 FM 529 Rd #100
Houston, TX 77095

Mailing address

PO Box 841636
Houston, TX 77284-1636
Phone (281) 858-4888

Other identifiers 2

IdentifierTypeStateIssuer
8K4659OtherTXMEDICARE INDIVIDUAL PTAN
096301901MedicaidTX

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
I20080407000711 TX Practitioner - Internal Medicine 0941387567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17531 FM 529 Rd
Suite 100
Houston, TX 77095-1182
Phone (281) 858-4888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5204TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy T Tang MD PA Internal Medicine CurrentSince May 7, 2007 Accepting new patients
Andrew Tang MD PA Internal Medicine Past Accepting new patients

Locations

17531 FM 529 Rd
Ste 100
Houston, TX 77095
Phone (281) 858-4888

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1093805046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841636",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772841636",
            "telephone_number": "281-858-4888",
            "fax_number": "281-858-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17531 FM 529 RD #100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77095",
            "telephone_number": "281-858-4888",
            "fax_number": "281-858-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "TIMOTHY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J5204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "8K4659",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096301901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.