Active NPI
Tangela M Gaines, PA-C
- Medical Physician Assistant
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C03729
- Practice address
- 2001 Medical Parkway
Acute Care Pavilion
Annapolis, MD 21401-3280 - Phone
- (443) 481-6482
- Fax
- (443) 481-6515
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C03729 | MD | Primary |
Addresses
Primary practice location
2001 Medical Parkway
Acute Care Pavilion
Annapolis, MD 21401-3280
Mailing address
PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6569
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 607156014 | Other | FEDERAL BLACK LUNG | |
| 607156012 | Other | US DEPT. OF LABOR | |
| 607156012 | Other | DEPT OF LABOR (FEDERAL) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300
4175 N Hanson CT
Bowie, MD 20716-3181
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.45 of 100
- Quality
- 67.28
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C03729 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Anne Arundel Medical Center Inc | Past | Accepting new patients | |
| Maryland Inpatient Care Specialists LLC | Past | Accepting new patients | |
| Anne Arundel Medical Center Inc | Past | Accepting new patients | |
| Anne Arundel Medical Center Inc | Past | Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
Organizations & group practices 9
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.
-
dba Annapolis Surgical Oncology Associates
- Surgery Physician
- Annapolis, MD
- NPI 1649248485
DC
-
dba Luminis Health Maternal and Fetal Medicine
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
dba Anne Arundel Medical Group-Neurology Specialists
- Neurology Physician
- Annapolis, MD
- NPI 1467767806
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1548091374
-
dba LH Primary Care North Hanson
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
dba AAMC Adult Hospitalists
- General Acute Care Hospital
- Annapolis, MD
- NPI 1285601369
-
dba Intensivists
- General Acute Care Hospital
- Annapolis, MD
- NPI 1528036290
-
dba Anne Arundel Medical Center Surgical Hospitalists
- General Acute Care Hospital
- Annapolis, MD
- NPI 1679541460
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1255417200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Doctors Community Hospital
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387843200000",
"number": "1598884207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12622",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154017",
"telephone_number": "443-481-6569",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PARKWAY",
"address_2": "ACUTE CARE PAVILION",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013280",
"telephone_number": "443-481-6482",
"fax_number": "443-481-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "TANGELA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2013-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C03729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "607156014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT. OF LABOR",
"identifier": "607156012",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR (FEDERAL)",
"identifier": "607156012",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; 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.