NPIMap

Individual provider Active NPI

Ming-Yeng Su Tang, M.D.

  • Internal Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1659346161
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-077656 Issued in IL
Practice address
9710 Southwest Hwy
Oak Lawn, IL 60453-3615
Phone
(708) 424-2082
NPI assigned
Feb 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-077656 IL Primary

Addresses

Primary practice location

9710 Southwest Hwy
Oak Lawn, IL 60453-3615

Mailing address

9710 Southwest Hwy
Oak Lawn, IL 60453-3615
Phone (708) 424-2082

Other identifiers 1

IdentifierTypeStateIssuer
036-077656MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address mtang276235@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000530 IL Practitioner - Internal Medicine 1052359031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J and M Tang MDS and Associates, SCGroup PAC ID 3072551050, 2 clinicians

Practice addresses (Care Compare)

9710 Southwest Hwy
Oak Lawn, IL 60453-3615
Phone (708) 424-2082

Hospital & facility affiliations

  • Elara Caring III Home health agency, Tinley Park, IL, CCN 147862
  • Lightways Hospice and Serious Illness Care Hospice, Joliet, IL, CCN 141539
  • Palos Community Hospital Hospice Hospice, Lemont, IL, CCN 141591
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Smith Crossing Nursing home, Orland Park, IL, CCN 146110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-077656ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J & M Tang MDS & Associates, SC Internal Medicine CurrentSince Apr 1, 1997 Accepting new patients

Locations

9710 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-2082

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGEBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Smith CrossingOrland Park, IL, CCN 146110 Skilled nursing facility Limited Partnership Interest
Adp of the SNF		 Oct 1, 2012
Jan 28, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 10

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": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1659346161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533615",
            "telephone_number": "708-424-2082",
            "fax_number": "708-576-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533615",
            "telephone_number": "708-424-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "MING-YENG",
        "middle_name": "SU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-18",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-077656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-077656",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9710 Southwest Hwy",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604533615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtang276235@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9710 Southwest Hwy",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604533615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.