Individual provider Active NPI

Tan Ngo

  • Medical Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1598314742
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3025 N Tarrant Pkwy Ste 140
Fort Worth, TX 76177-8625
Phone
(817) 972-3900
Fax
(866) 741-2679
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TX Primary

Addresses

Primary practice location

3025 N Tarrant Pkwy Ste 140
Fort Worth, TX 76177-8625

Mailing address

3025 N Tarrant Pkwy Ste 140
Fort Worth, TX 76177-8625
Phone (817) 697-3900

Other practice location 1

3537 S I 35 E Ste 112
Denton, TX 76210-6868
Phone (817) 697-3900

Other practice location 2

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608000943 TX Practitioner - Physician Assistant 2668893249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

310 FM 407
Suite 100
Argyle, TX 76226-5902
Phone (877) 314-8990

3200 N Tarrant Pkwy
Fort Worth, TX 76177-8611
Phone (817) 503-7300

3325 Medpark Dr
Denton, TX 76210-6898
Phone (977) 314-8990

3535 S I 35 E
Denton, TX 76210-6850
Phone (940) 384-3535

3535 S Interstate 35 E
Medical City Denton
Denton, TX 76210-6850
Phone (940) 384-3535

4343 N Josey LN
Baylor Med Ctr Carrollton
Carrollton, TX 75010-4603
Phone (972) 492-1010

6800 N Macarthur Blvd
Las Colinas Medical Center
Irving, TX 75039-2422
Phone (972) 969-2000

8800 Medical City Way
Fort Worth, TX 76177-2476
Phone (877) 314-8990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: tan.ngo@hca7.eclinicaldirectplus.com

Organizations & group practices 2

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 2

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1598314742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778625",
            "telephone_number": "817-697-3900",
            "fax_number": "866-741-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778625",
            "telephone_number": "817-972-3900",
            "fax_number": "866-741-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 S I 35 E Ste 112",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106868",
            "country_code": "US",
            "telephone_number": "817-697-3900",
            "fax_number": "866-741-2679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-648-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "TAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.