Active NPI
Abraham Llapitan Tacang, M.D.
- Rheumatology Physician
- Crestview Hills, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 51147
- Practice address
- 651 Centre View Blvd
Crestview Hills, KY 41017 - Phone
- (859) 344-1900
- Fax
- (859) 344-4632
- NPI assigned
- Jun 28, 2012
- Last updated
- Dec 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 01086505A | IN | |
| Rheumatology Physician | 207RR0500X | 51147 | KY | Primary |
Addresses
Primary practice location
651 Centre View Blvd
Crestview Hills, KY 41017
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2435 Fire Mesa St
Las Vegas, NV 89128-9009
8440 S Eastern Ave
Suite a
Las Vegas, NV 89123-2861
Phone (702) 476-2287
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Healthnomic Partners LLC | Rheumatology | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Past | Accepting new patients |
Locations
651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
2435 Fire Mesa St
Las Vegas, NV 89128
Phone (702) 204-4947
2435 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (702) 362-7246
5980 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 756-7246
701 Shadow Ln
Ste 170
Las Vegas, NV 89106
Phone (702) 254-7634
8379 W Sunset Rd
Ste 210
Las Vegas, NV 89113
8440 S Eastern Ave
Ste A
Las Vegas, NV 89123
Phone (702) 269-0204
Interoperability endpoints
- atacang226814@direct-prd.stelizabeth.com
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.
-
dba Sagebrush Healthcare
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1740850106
Rheumatology
-
dba St. Elizabeth Physicians Behavioral Health
- Psychiatry Physician
- Erlanger, KY
- NPI 1508287640
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1336403914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-344-1900",
"fax_number": "859-344-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 CENTRE VIEW BLVD",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-344-1900",
"fax_number": "859-344-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACANG",
"first_name": "ABRAHAM",
"middle_name": "LLAPITAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IN",
"license": "01086505A",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "KY",
"license": "51147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.