Individual provider Active NPI

Abraham Llapitan Tacang, M.D.

  • Rheumatology Physician
  • Crestview Hills, KY
National Provider Identifier
1336403914
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
51147 Issued in KY
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017001123 NV Practitioner - Rheumatology 2567766488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthnomic Partners LLCGroup PAC ID 7315342094, 22 clinicians

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 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc Current Accepting new patients
Healthnomic Partners LLC Rheumatology CurrentSince Dec 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.