Individual provider Active NPI

Christopher F Tanga, D.O.

  • Vascular Surgery Physician
  • North Dartmouth, MA
National Provider Identifier
1811312564
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
286557 Issued in MA
Practice address
300A Faunce Corner Rd
North Dartmouth, MA 02747-1280
Phone
(508) 973-2213
Fax
(508) 973-1185
NPI assigned
Mar 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 286557 MA Primary

Addresses

Primary practice location

300A Faunce Corner Rd
North Dartmouth, MA 02747-1280

Mailing address

200 Mill Rd
Fairhaven, MA 02719-5252
Phone (508) 973-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210610000486 MA Practitioner - Vascular Surgery 9830477249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
West Virginia School of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

300 A Faunce Corner Rd
Suite 102
North Dartmouth, MA 02747-1280
Phone (508) 973-1140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal16
Leg revascularization (restoring blood flow)83
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
286557MAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Southcoast Physicians Group, Inc. Surgery CurrentSince Jun 1, 2021 Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

300A Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2213

300A Faunce Corner Rd
Ste 102
North Dartmouth, MA 02747
Phone (508) 973-9050

300A Faunce Corner Rd
Ste 200
North Dartmouth, MA 02747
Phone (508) 973-2213

Interoperability endpoints

  • Direct secure messaging: ctanga58841@direct.southcoast.org

Organizations & group practices 4

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 2

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": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1811312564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2213",
            "fax_number": "508-973-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A FAUNCE CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471280",
            "telephone_number": "508-973-2213",
            "fax_number": "508-973-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGA",
        "first_name": "CHRISTOPHER",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "286557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.