Individual provider Active NPI

Dominic Tang, M.D.

  • Urology Physician
  • Arlington, TX
National Provider Identifier
1215222989
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R4909 Issued in TX
Practice address
801 W Interstate 20 Ste 1
Arlington, TX 76017
Phone
(817) 784-8268
Fax
(817) 417-1150
NPI assigned
Jun 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R4909 TX Primary

Addresses

Primary practice location

801 W Interstate 20 Ste 1
Arlington, TX 76017

Mailing address

801 W Interstate 20 Ste 1
Arlington, TX 76017-5851
Phone (817) 784-8268

Other practice location 1

A-1302 Medical Ctr N
Nashville, TN 37232-0001
Phone (615) 343-5604

Other practice location 2

A-1302 Medical Ctr N
Nashville, TN 37232-0001
Phone (615) 343-5604

Other practice location 3

801 W Interstate 20 Ste 1
Arlington, TX 76017
Phone (817) 784-8268

Other identifiers 3

IdentifierTypeStateIssuer
387325901MedicaidTX
387325902MedicaidTX
387325903MedicaidTX

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
I20180711001371 TX Practitioner - Urology 0446506133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Meharry Medical College School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

6500 Harris Pkwy
Ft Worth, TX 76132-4136
Phone (817) 263-2600

Hospital & facility affiliations

  • Usmd Hospital at Arlington L P Hospital, Arlington, TX, CCN 450872
  • Baylor Surgical Hospital at Las Colinas Hospital, Irving, TX, CCN 450874
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Jul 30, 2018 Accepting new patients
Texas Oncology PA Urology Current Accepting new patients
Medical Clinic of North Texas, PLLC Urology CurrentSince Jul 30, 2018 Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Medical Clinic of North Texas, PLLC Urology Current Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Texas Oncology PA Current Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

801 W Interstate 20
Ste 1
Arlington, TX 76017
Phone (817) 417-1100

811 W Interstate 20
Ste 114
Arlington, TX 76017

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dominictang@tusdfw.medalliesdirect.net

Organizations & group practices 7

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 4

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1215222989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W INTERSTATE 20 STE 1",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175851",
            "telephone_number": "817-784-8268",
            "fax_number": "817-417-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W INTERSTATE 20 STE 1",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76017",
            "telephone_number": "817-784-8268",
            "fax_number": "817-417-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "A-1302 Medical Ctr N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320001",
            "country_code": "US",
            "telephone_number": "615-343-5604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "A-1302 Medical Ctr N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320001",
            "country_code": "US",
            "telephone_number": "615-343-5604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Interstate 20 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "76017",
            "country_code": "US",
            "telephone_number": "817-784-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "R4909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387325901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387325902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387325903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.