Benjamin B Tang, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

01033529A Issued in IN

Practice address

333 W 89TH Ave Ste W2
Merrillville, IN 46410

Phone

(317) 671-7460

Fax

(224) 235-4652

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IN, IL2 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 2

Specialty

Thoracic Surgery

Education

Other, 1976

Medicare assignment

May accept Medicare assignment

Group practices

Crown Point Vein Clinic LLCGroup PAC ID 4981960523, 2 clinicians

Vein Clinics of Chicago LLCGroup PAC ID 1153572383, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Crown Point Vein Clinic LLC

  • Vascular Surgery Physician
  • Northbrook, IL
  • NPI 1770024721

  IN

  Medicare reassignment Care Compare group NPD
• Vein Clinics of Chicago LLC

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1386904621
  Medicare reassignment Care Compare group NPD
• Indiana Phlebology PC

  • Surgery Physician
  • Merrillville, IN
  • NPI 1962508853
  Medicare reassignment NPD
• USA Vascular Center of Indiana LLC

  • Vascular Surgery Physician
  • Indianapolis, IN
  • NPI 1326863432
  Medicare reassignment NPD
• Congress Vein Clinic LLC

  • Trauma Surgery Physician
  • Chicago, IL
  • NPI 1467986901
  Medicare reassignment NPD
• Illinois Phlebology Associates SC

  • Surgery Physician
  • Orland Park, IL
  • NPI 1154378040
  Medicare reassignment NPD
• North Shore Vein Clinics LLC

  • Vascular Surgery Physician
  • Northbrook, IL
  • NPI 1841547098
  Medicare reassignment NPD
• Northwest Vein Clinics LLC

  • Vascular Surgery Physician
  • Elk Grove Village, IL
  • NPI 1578810651
  Medicare reassignment NPD
• USA Vascular Centers of Chicago, LLC

  • Vascular Surgery Physician
  • Northbrook, IL
  • NPI 1174995674
  Medicare reassignment NPD
• Congress Vascular Center LLC

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1396267324
  Medicare reassignment
• Elmwood Park Vascular Center LLC

  • Vascular Surgery Physician
  • Elmwood Park, IL
  • NPI 1043731300
  NPD (past)
• Premiere Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Park Ridge, IL
  • NPI 1720467392
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1225112196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650451",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W 89TH AVE STE W2",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "317-671-7460",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W 89th Ave Ste W2",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "46410",
            "country_code": "US",
            "telephone_number": "317-671-7460",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5521 W Lincoln Hwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071097",
            "country_code": "US",
            "telephone_number": "219-769-8346",
            "fax_number": "219-769-7941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6415 W Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606382503",
            "country_code": "US",
            "telephone_number": "773-906-8060",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "BENJAMIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036055168",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01033529A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WI",
            "identifier": "351859903012",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "330002905",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD IL",
            "identifier": "911-08127",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS IN",
            "identifier": "000000077842",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100203000A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PULIC AID",
            "identifier": "351859903",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sabrina Talley
• Visa Baje Tan, PT
• Jacklyn Tanis
• Kellie Tannus
• Pakorn Tara, M.D.
• Pimpa J Tara, M.D.
• Tarangini T. Padhya MD, PC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.