Individual provider Active NPI

Derek Tang, MD

  • Diagnostic Radiology Physician
  • Providence, RI
National Provider Identifier
1497370282
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
105688 Issued in GA
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-8809
NPI assigned
Jun 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT220030 PA
Student in an Organized Health Care Education/Training Program 390200000X LP05270 RI
Diagnostic Radiology Physician 2085R0202X 105688 GA Primary
Vascular & Interventional Radiology Physician 2085R0204X ME175544 FL
Diagnostic Radiology Physician 2085R0202X ME175544 FL

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-8809

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015
Phone (484) 526-4644

Other practice location 2

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 351-7200

Other practice location 3

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 265-0291

Other practice location 4

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (352) 265-0291

Other practice location 5

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0291

Other practice location 6

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 848-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20250822001326 RI Practitioner - Diagnostic Radiology 3577063700 Reassigns benefits to 6 organizations
I20251205003042 FL Practitioner - Diagnostic Radiology 3577063700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging Center of Ocala LLPGroup PAC ID 0345130787, 48 clinicians
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Inverness Medical Imaging LLCGroup PAC ID 3870590672, 83 clinicians
Timberridge Imaging CenterGroup PAC ID 9436049863, 49 clinicians
Ocala Health Imaging Services LLCGroup PAC ID 8224217179, 48 clinicians

Practice addresses (Care Compare)

128 Moccasin Dr
Warwick, RI 02889-8621
Phone (352) 671-4300

2300 SE 17TH St
Suite 800
Ocala, FL 34471-9142
Phone (352) 690-8403

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME175544FLMDDiagnostic Radiology Physician
MT220030PAMDStudent in an Organized Health Care Education/Training Program
LP05270RIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Nov 11, 2025 Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
St. Francis Physician Practices LLC Diagnostic Radiology CurrentSince Oct 13, 2025 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

2300 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 690-8403

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1497370282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "18015",
            "country_code": "US",
            "telephone_number": "484-526-4644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 SE Magnolia Ext",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344714443",
            "country_code": "US",
            "telephone_number": "352-351-7200",
            "fax_number": "706-653-1230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-848-8448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT220030",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "RI",
            "license": "LP05270",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "105688",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME175544",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME175544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.