Active NPI
Kejian Tang, M.D.
- Neurology Physician
- Massena, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 224356-1
- Practice address
- 181 Maple St
Massena, NY 13662-1012 - Phone
- (315) 842-3095
- Fax
- (315) 842-3035
- NPI assigned
- May 4, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E4568 | AR | |
| Neurology Physician | 2084N0400X | 224356-1 | NY | Primary |
| Neurology Physician | 2084N0400X | E-4568 | AK |
Addresses
Primary practice location
181 Maple St
Massena, NY 13662-1012
Mailing address
1 Hospital Drive
Massena, NY 13662
Phone (315) 769-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02281450 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Neurology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
181 Maple St
Suite a
Massena, NY 13662-1052
Phone (315) 842-3095
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.56 of 100
- Quality
- 87.76
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4568 | AR | MD | Specialist |
| E-4568 | AK | MD | Neurology Physician |
| 224356-1 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massena Hospital, Inc | Current | Accepting new patients | |
| Neurological Assoc of Neny PC | Neurology | Past | Accepting new patients |
| Davis Brown & Morse Partnership Neurological Associates | Specialist | Past | Accepting new patients |
Locations
181 Maple St
Ste C
Massena, NY 13662
Phone (315) 769-1667
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
181 Maple St
Massena, NY 13662
Phone (315) 769-1667
181 Maple St
Ste A
Massena, NY 13662
Phone (315) 769-4704
Interoperability endpoints
- tanke@hiemail.healtheconnections.org
- ktang328396@direct.rochesterregional.org
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Massena, NY
- NPI 1972604460
-
- Medicare Defined Swing Bed Hospital Unit
- Massena, NY
- NPI 1619756640
-
- Neurology Physician
- Schenectady, NY
- NPI 1497857627
-
- Specialist
- Fayetteville, AR
- NPI 1306894456
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Critical Access Hospital
- Massena, NY
- NPI 1972604460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1568410587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DRIVE",
"city": "MASSENA",
"state": "NY",
"postal_code": "13662",
"telephone_number": "315-769-4200",
"fax_number": "315-769-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 MAPLE ST",
"city": "MASSENA",
"state": "NY",
"postal_code": "136621012",
"telephone_number": "315-842-3095",
"fax_number": "315-842-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "KEJIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "E4568",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "224356-1",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AK",
"license": "E-4568",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02281450",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.