Individual provider Active NPI

Albert Tang, MD

  • Family Medicine Physician
  • Liberty Township, OH
National Provider Identifier
1689022253
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.143133 Issued in OH
Practice address
6939 Cox Rd Ste 360
Liberty Township, OH 45069-7595
Phone
(513) 564-6800
Fax
(513) 564-6815
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT211383 PA
Family Medicine Physician 207Q00000X 4301500515 MI
Family Medicine Physician 207Q00000X 35.143133 OH Primary

Addresses

Primary practice location

6939 Cox Rd Ste 360
Liberty Township, OH 45069-7595

Mailing address

6939 Cox Rd Ste 360
Liberty Township, OH 45069-7595
Phone (513) 564-6800

Other identifiers 2

IdentifierTypeStateIssuer
0459675MedicaidOH
7100785980MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200127001058 MI Practitioner - Family Practice 0840578613 Reassigns benefits to 1 organization
I20210923003742 OH Practitioner - Family Practice 0840578613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

6939 Cox Rd
Liberty Township, OH 45069-7595
Phone (513) 648-7975

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.143133OHMDFamily Medicine Physician
MT211383PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Oct 22, 2021 Accepting new patients
Ascension Medical Group Promed Family Medicine CurrentSince Feb 9, 2020 Accepting new patients
Promed Healthcare CurrentSince Feb 9, 2020 Accepting new patients
Christ Hospital Medical Specialists LLC PastSince Jan 21, 2022 Accepting new patients

Locations

1717 Shaffer St
Ste 002
Kalamazoo, MI 49048

6565 W Main St
Kalamazoo, MI 49009
Phone (269) 375-0400

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

8450 N 32nd St
Richland, MI 49083
Phone (269) 226-2500

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

237 William Howard Taft Rd
#23
Cincinnati, OH 45219

6939 Cox Rd
Ste 360
Liberty Township, OH 45069
Phone (513) 564-6800

6939 Cox Rd
Liberty Township, OH 45069
Phone (513) 206-1460

7335 Yankee Rd
Ste 202
Liberty Township, OH 45044
Phone (513) 564-6800

Organizations & group practices 5

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 3

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1689022253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6939 COX RD STE 360",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450697595",
            "telephone_number": "513-564-6800",
            "fax_number": "513-564-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 COX RD STE 360",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450697595",
            "telephone_number": "513-564-6800",
            "fax_number": "513-564-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT211383",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301500515",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.143133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459675",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100785980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.