Nikki Danielle Ying Tang, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

MD195049 Issued in OR

Practice address

2924 Siskiyou Blvd Ste 200
Medford, OR 97504-6462

Phone

(541) 200-2777

Fax

(541) 214-2575

NPI assigned

Jun 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR, NY, CA3 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

Specialty

Dermatology

Education

Warren Alpert Medical School of Brown University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ocean Skin and Vein InstituteGroup PAC ID 9335482835, 16 clinicians

Clear Choice DermatologyGroup PAC ID 4789005034, 47 clinicians

Clinic for Dermatology and Wellness LLCGroup PAC ID 5890083729, 6 clinicians

Karin I Harp MD IncGroup PAC ID 7810134459, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ntang@theclinicoregon.emadirect.md
• Direct secure messaging: ntang@lalasercenter.emadirect.md

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.

• Clear Choice Dermatology

  • Dermatology Physician
  • The Dalles, OR
  • NPI 1891327185
  Medicare reassignment Care Compare group NPD
• Clinic for Dermatology & Wellness LLC

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1467908863
  Medicare reassignment Care Compare group NPD
• Karin I. Harp M.D., Inc.

  • Dermatology Physician
  • Westlake Village, CA
  • NPI 1720328263
  Medicare reassignment Care Compare group NPD
• Ocean Skin and Vein Institute

  • Dermatology Physician
  • Tustin, CA
  • NPI 1790246841
  Medicare reassignment Care Compare group
• Uci Department of Dermatology

  • Dermatology Physician
  • Orange, CA
  • NPI 1518916527
  Medicare reassignment NPD
• Compass Dermatopathology, Inc.

  • Dermatopathology Physician
  • San Diego, CA
  • NPI 1922312248

  OR

  Medicare reassignment
• Bakersfield Memorial Hospital

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• Daniel Taheri MD Inc

  • Clinical & Laboratory Dermatological Immunology Physician
  • Las Vegas, NV
  • NPI 1922144450

  Dermatology

  NPD (past)
• Daniel Taheri MD PC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1407992217

  Dermatology

  NPD (past)
• Howard D. Solomon, DO, PC

  • Procedural Dermatology Physician
  • Forest Hills, NY
  • NPI 1598054520
  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Visalia, CA
  • NPI 1083247795
  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Turlock, CA
  • NPI 1356974059
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1740574169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 SISKIYOU BLVD STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046462",
            "telephone_number": "541-200-2777",
            "fax_number": "541-214-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 SISKIYOU BLVD STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046462",
            "telephone_number": "541-200-2777",
            "fax_number": "541-214-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2747 Crescent St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111023142",
            "country_code": "US",
            "telephone_number": "718-626-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "NIKKI",
        "middle_name": "DANIELLE YING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD195049",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "2862881",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "MD195049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500766374",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114347600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Take Care Home Health Inc.
• Julie C. Talcott-Fuller, MSOT, OTR/L
• Tamara K. Abbett, DDS, PC
• Jacob Allen Tambellini
• Andrew S Tang, D.O.
• Rudolf Dickeinstein Tanga, RPH
• Richard Dean Tanksley, MSW
• David Curtis Tara, L.AC.
• Ronald G. Tate, M.S. CCC-A
• Jed William Taucher, DMD

• MOHS-Micrographic Surgery Physician in Medford, OR
• Providers in Medford, OR by specialty
• MOHS-Micrographic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.

Verify at the official NPI Registry.