Individual provider Active NPI

Derek H Lang, DO

  • Family Medicine Physician
  • Hurst, TX
National Provider Identifier
1275648107
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7352 Issued in TX
Practice address
789 Lonesome Dove TRL
Hurst, TX 76054-6018
Phone
(817) 577-0480
Fax
(817) 581-0167
NPI assigned
Aug 20, 2006
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO 1804 TN
Family Medicine Physician 207Q00000X M7352 TX Primary

Addresses

Primary practice location

789 Lonesome Dove TRL
Hurst, TX 76054-6018

Mailing address

789 Lonesome Dove TRL
Hurst, TX 76054-6018
Phone (817) 577-0480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1804TNMDProfessional Counselor
DO 1804TNMDFamily Medicine Physician
M7352TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emmaus Community Healthcare, PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Primary Health Physicians, PLLC PastSince Aug 18, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1275648107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 LONESOME DOVE TRL",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546018",
            "telephone_number": "817-577-0480",
            "fax_number": "817-581-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 LONESOME DOVE TRL",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546018",
            "telephone_number": "817-577-0480",
            "fax_number": "817-581-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "DEREK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO 1804",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.