Individual provider Active NPI

Stephen James Tang, M.D.

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1497174411
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61079462 Issued in WA
Practice address
1015 NW 22ND Ave Ste T240
Portland, OR 97210-3025
Phone
(503) 413-7127
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 65850 WI
Diagnostic Radiology Physician 2085R0202X MD61079462 WA Primary

Addresses

Primary practice location

1015 NW 22ND Ave Ste T240
Portland, OR 97210-3025

Mailing address

4315 SW Fairview Circus
Portland, OR 97221-2713
Phone (248) 790-2098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, NY, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200804003105 OR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5890099378 Reassigns benefits to 7 organizations
I20200910003009 WA Practitioner - Diagnostic Radiology 5890099378 Reassigns benefits to 4 organizations
I20240409002410 NY Practitioner - Diagnostic Radiology 5890099378 Reassigns benefits to 1 organization
I20250418001388 VA Practitioner - Diagnostic Radiology 5890099378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Wisconsin School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
Public Hospital District No. 2, Klickitat County, WashingtonGroup PAC ID 4981592144, shared by 4 NPIs, 40 clinicians
First Meridian Medical LLCGroup PAC ID 5092766352, 17 clinicians
TS Radiology Billings LLCGroup PAC ID 0840221230, 14 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians
Chesapeake Diagnostic Imaging Centers LLCGroup PAC ID 3678524576, 14 clinicians

Practice addresses (Care Compare)

01641 SW Comus St
Portland, OR 97219-7858
Phone (904) 399-5550

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7800

211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101

229 Clearfield Ave
Suite 100
Virginia Beach, VA 23462-1815
Phone (757) 671-1144

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (971) 340-2758

4315 SW Fairview Circus
Portland, OR 97221-2713
Phone (904) 399-5550

676 Kingsborough SQ
Suite a
Chesapeake, VA 23320-4954
Phone (757) 965-4151

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65850WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Jan 1, 2024 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Jan 1, 2024 Accepting new patients
Tra-Minw P S CurrentSince Jan 14, 2024 Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Sep 1, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 25, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince May 6, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince May 6, 2024 Accepting new patients
Chesapeake Diagnostic Imaging Centers, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Hampton Roads Orthopaedic & Sports Medicine LLC CurrentSince Apr 1, 2026 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
First Meridian Medical LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Chesapeake Diagnostic Imaging Centers, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince Sep 1, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Mar 25, 2024 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Aug 15, 2025 Accepting new patients
First Meridian Medical LLC CurrentSince Apr 1, 2025 Accepting new patients
Tra-Minw P S Past Accepting new patients

Locations (25 of 67)

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

2725 SW Cedar Hills Blvd
Ste 225
Beaverton, OR 97005

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

1015 NW 22nd Ave
Ste T240
Portland, OR 97210
Phone (503) 413-7127

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

475 S Columbia River Hwy
Saint Helens, OR 97051
Phone (503) 397-8040

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242

676 Kingsborough Sq
Ste A
Chesapeake, VA 23320
Phone (757) 547-4155

1554 River Birch Run N
Chesapeake, VA 23320
Phone (757) 671-1144

4668 Pembroke Blvd
Ste 117
Virginia Beach, VA 23455
Phone (757) 671-1144

596 Lynnhaven Pkwy
Ste 101
Virginia Beach, VA 23452
Phone (757) 671-1144

205 10th St NE
Auburn, WA 98002
Phone (253) 351-5300

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

9230 Sky Island Dr E
Bonney Lake, WA 98391
Phone (253) 750-6000

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

16045 1st Ave S
Burien, WA 98148
Phone (206) 965-4100

27111 167th Pl SE
Ste 101
Covington, WA 98042

3021 Griffin Ave
Enumclaw, WA 98022
Phone (253) 833-6241

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
  • Direct secure messaging: egawaran1203906@direct.uwhealth.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1497174411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 SW FAIRVIEW CIRCUS",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212713",
            "telephone_number": "248-790-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE STE T240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "65850",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61079462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.