Andrew Ho Keung Tang, MD
Individual provider Active NPI Internal Medicine Physician · Stateline, NV
NPI 1639176282 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1639176282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 8365 (NV)
- Practice address
- 155 Highway 50
Stateline, NV 89449-9816 - Phone
- (775) 589-8900
- Fax
- (775) 588-7110
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Creighton University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Barton Healthcare System
Barton Medical Foundation
Practice addresses (Care Compare)
2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5553
Hospital & facility affiliations
- Barton Memorial Hospital
- Renown Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.59 of 100
- Quality
- 95.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050411001277 | CA | Practitioner - Internal Medicine | 1254378219 | Reassigns benefits to 5 organizations |
| I20050527000050 | NV | Practitioner - Internal Medicine | 1254378219 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54689 | CA | MD | Dentist |
| 8365 | NV | MD | Internal Medicine Physician |
| 8365 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Inyo Healthcare District | Current |
Accepting new patients | |
| Barton Medical Foundation | Current |
Accepting new patients | |
| Northern Inyo Healthcare District | Current |
Accepting new patients | |
| Barton Healthcare System | Internal Medicine | Current |
Accepting new patients |
| Barton Healthcare System | Current |
Accepting new patients | |
| Tahoe Carson Valley Medical Group, Inc. | Past | Accepting new patients | |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients | |
| Mt Grant General Hospital | Past | Accepting new patients | |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Past | Accepting new patients | |
| Barton Healthcare System | Past | Accepting new patients | |
| Sparks Family Hospital Inc | Past | Accepting new patients |
Locations
150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659
2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660
2169 South Ave
Ste A
South Lake Tahoe, CA 96150
Phone (530) 541-2804
Interoperability endpoints
- atang66296@direct.renown.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A54689 | CA | |
| Internal Medicine Physician | 207R00000X | 8365 | NV | Yes |
Addresses
Primary practice location
155 Highway 50
Stateline, NV 89449-9816
Mailing address
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Phone (530) 543-5659
Other providers in Stateline, NV
- State of Nevada
- Steven L Kline OD a Professional Corporation
- Natalie Stevenson
- Maureen Sullivan
- Tahoe Carson Valley Medical Group, Inc.
- Lucas Nathan Vine
- Lisa A Weigle
- Warren Tilden Withers
- Ahmed Zarrugh
All providers in Stateline, NV · Internal Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.