Individual provider Active NPI

Jason Michael Pang, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1639639883
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
U9329 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 75676 AZ
Anesthesiology Physician 207L00000X MD-54114 IA
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X U9329 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999

Other practice location 1

6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-6200

Other practice location 2

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other practice location 3

2602 Saint Michael Dr
Texarkana, TX 75503-2387
Phone (903) 614-5258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, IA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240605003015 TX Practitioner - Anesthesiology 1254790033 Reassigns benefits to 2 organizations
I20250103003251 AZ Practitioner - Anesthesiology 1254790033 Reassigns benefits to 1 organization
I20250129000820 IA Practitioner - Anesthesiology 1254790033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-5250

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75676AZMDAnesthesiology Physician
MD-54114IAMDAnesthesiology Physician
U9329TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince May 15, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 22, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 22, 2025 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince May 15, 2024 Accepting new patients
Yuma Regional Medical Center CurrentSince Jan 11, 2025 Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 9, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Current Accepting new patients
Yuma Regional Medical Center CurrentSince Jan 11, 2025 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Jun 9, 2025 Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6431 Fannin St
Houston, TX 77030
Phone (713) 500-5800

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

2602 Saint Michael Dr
Ste 301
Texarkana, TX 75503
Phone (903) 614-5258

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 12

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 7

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1639639883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2602 Saint Michael Dr",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032387",
            "country_code": "US",
            "telephone_number": "903-614-5258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANG",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "75676",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "MD-54114",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "U9329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.